Krystina Lewis

Krystina Lewis, PhD, RN, CCN(C) is an associate professor in the School of Nursing at the University of Ottawa and an affiliate researcher at the University of Ottawa Heart Institute and the Centre for Implementation Research at the Ottawa Hospital Research Institute.

Dr. Lewis focuses on the delivery of health services to support the development and implementation of effective interventions to promote patient and public engagement in health-care decisions. She works with and alongside people with lived and living experience, clinicians, researchers and policymakers to increase her research quality, relevance, uptake and impact.

Dr. Lewis has been awarded funding from the Canadian Cardiovascular Society, CANet, the Heart & Stroke Foundation and the Canadian Institutes for Health Research. She is co-scientific director of the Ottawa Patient Decision Aids Research Group and a member of the International Patient Decision Aid Standards Collaboration and the Integrated Knowledge Translation Research Network. Most recently, she has taken on the lead role for the Knowledge Mobilization stream of the Brain-Heart Interconnectome (uOttawa / University of Ottawa Heart Institute).

Dr. Lewis  has maintained Canadian Nurses’ Association certification in cardiovascular nursing since 2010. She completed her PhD (’18) at uOttawa, supported by a Canadian Institutes of Health Research Fellowship Award, and was awarded the Governor General’s Gold Medal for outstanding dissertation in medicine, health sciences and interdisciplinary studies in 2019.

PubMed Profile

• Knowledge Translation
• Shared Decision-Making
• Decision Support Interventions
• Cardiovascular Nursing
• Patient and family engagement
• Adults and Older Adults

Peer-reviewed Publications

PubMed Link

Papers in refereed journals

1. Boland, L., Graham, I., Legare, F., Lewis, K.B., Jull, J., Shephard, A., Lawson, M., Davis, A., Yameogo, A., Stacey, D. (2019). Barriers and facilitators to shared decision-making in pediatrics: A systematic review. Implementation Science, 14:7. doi: 10.1186/s13012-018-0851-5
2. Carroll, S. L., Embuldeniyab, G., Pannaga, J., Lewis, K.B., McGillion, M., Thabane, L., Stacey, D. The challenge of values elicitation: Understanding how patients’ values guide decision making in the context of implantable cardioverter-defibrillators. Accepted by Patient Preference and Adherence June 2018.
3. McAlpine, K., Lewis, K. B., Trevena, L., & Stacey, D. What is the effectiveness of patient decision aids for cancer-related decisions? A systematic review sub-analysis. Journal of Clinical Oncology Clinical Cancer Informatics. Accepted for publication March 2018. 
4. Lewis, K.B., Birnie, D., Carroll, S.L., Clark, L., Kelly, F., Gibson, P., Rockburn, L., Stacey, D. User-centered development of a decision aid for patients facing implantable cardioverter-defibrillator replacement: A mixed-methods study. (2018). Journal of Cardiovascular Nursing. 33(5):481-491. doi: 10.1097/JCN.0000000000000477.
5. Lewis, K.B., Carroll, S.L., Birnie, D., Stacey, D., Matlock, D.D. (2018). Incorporating Patients’ Preference Diagnosis in Implantable Cardioverter-Defibrillator Decision-Making: A Review of Recent Literature. Current Opinion in Cardiology. 33(1):42-49. doi: 10.1097/HCO.0000000000000464.
6. Stacey, D., Légaré, F., Lewis, K.B. (2017). JAMA Clinical Evidence Synopsis: Decision Aids to Improve Outcomes in Healthcare: Patient decision aids to engage adults in treatment or screening decisions. Journal of the American Medical Association. 318(7):657-658.
7. Légaré, F., Stacey, D., Forest, P.G., Coutu, M.F., Archambault, P., Boland, L., Witteman, H.O., Leblanc, A., Lewis K.B. (2017) Milestones, Barriers and Beacons: Shared Decision Making in Canada Inches Ahead. Journal of Evidence and Quality in Health Care. 123-124:23-27. doi: 10.1016/j.zefq.2017.05.020
8. Stacey, D., Légaré, F., Lewis, K.B. Barry M.J., Bennett, C.L., Eden, K.B., Holmes-Rovner, M., Llewellyn-Thomas, H. Lyddiatt, A., Thomson, R., Trevena, L. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews. 4:CD001431. doi: 10.1002/14651858.CD001431.pub5.
9. Lewis, K.B., Wood, B., Sepucha, K.R., Thomson, R.G., Stacey, D. (2017). Quality of reporting of patient decision aids in recent randomized controlled trials: A descriptive synthesis and comparative analysis. Patient Education and Counseling. 100(7), 1387–1393. https://doi.org/10.1016/j.pec.2017.02.021
10. Légaré, F., Hébert, J., Goh, L., Lewis, K.B., Portocarrero, M.E., Robitaille, H., Stacey, D. (2016). Do choosing wisely tools meet criteria for patient decision aids? A descriptive analysis of patient materials BMJ Open. 6(8). e011918. doi: 10.1136/bmjopen-2016-011918
11. Lewis, K.B., Stacey, D., Carroll, S.L., Boland, L., Sikora, L., Birnie, D. (2016). Estimating the risks and benefits of implantable cardioverter-defibrillator generator replacement: A systematic review. Pacing and Clinical Electrophysiology. 39(7), 709-722. doi: 10.1111/pace.12850.
12. Lewis, K.B., Stacey, D., Squires, J.E., Carroll, S.L. (2016). Shared decision making models acknowledging an interprofessional approach: A theory analysis to inform nursing practice. Research and Theory for Nursing Practice. 30(1), 26-43.
13. Munro, S., Stacey, D., Lewis, K.B., Bansback, N. (2015). Choosing treatments congruent with values: Do patients need help and do decision aids provide it? Sub-analysis of a systematic review. Patient Education and Counseling. 99(4), 491-500. doi: 10.1016/j.pec.2015.10.026.
14. Catlin, B.J., Lewis, K.B., Nichols, N., Parsons, L.M. (2015). Canadian Council of Cardiovascular Nurses Position Statement: The role of the nurse in advance care planning. Canadian Journal of Cardiovascular Nursing. 25:3, 5-9.
15. Lewis, K.B., Nery, P., & Birnie, D. (2014). Decision-making at the time of ICD generator change: Patients’ perspectives. JAMA Internal Medicine. 74(9):1508-1511. doi: 10.1001/jamainternmed.2014.3435
16. Lewis, K.B., Stacey, D., & Matlock, D. (2014). Making decisions about implantable cardioverter-defibrillators from implantation to end of life: An integrative review of patients’ perspectives. The Patient: Patient-Centered Outcomes Research. 7(3):243-60.doi: 10.1007/s40271-014-0055-2.
17. Lewis, K.B., Starzomski, R., & Young, L. (2014). A relational approach to implantable cardioverter-defibrillator generator replacement: An integrative review of the role of nursing in shared decision-making. Canadian Journal of Cardiovascular Nursing, 24:6-14.

Referred chapters in books

1. Ainslie, M., Reed, J., Lewis, K.B., Birnie, D. (2019). Do We Need Heart Teams for Complex Cardiac Arrhythmias? A Cardiologist’s Perspective. In T. Mesana (Ed.) Heart Teams for Treatment of Cardiovascular Disease: A Guide for Advancing Patient-Centered Cardiac Care. Springer Nature.
2. Stacey, D., Hill, S., McCaffery, K., Boland, L., Lewis, K.B., Horvat, L. (2017). Shared decision making interventions: Theoretical and empirical evidence with implications for health literacy. In R Logan (Ed). Health literacy: new directions in research, theory, and practice. Amsterdam: IOS Press.

Letters to the editor

1. Nery, P., Lewis, K.B., Birnie, D. (2017). Letter to the editor regarding article, " Implantable Cardioverter-Defibrillator for Non Ischemic Cardiomyopathy: An Update Meta-Analysis" Circulation. 135:e1198-e1199. https://doi.org/10.1161/CIRCULATIONAHA.117.027389
2. Lewis K.B., Stacey D., Birnie, D. (2015). Letter by Lewis et al Regarding Article, "REPLACE DARE (Death After Replacement Evaluation) Score: Determinants of All-Cause Mortality After Implantable Device Replacement or Upgrade From the REPLACE Registry" Circulation Arrhythmia & Electrophysiology. 8:512. doi:10.1161/CIRCEP.115.002754

Abstracts

1. Lewis, K.B., Stacey, D., Carroll, S.L., Clark, L., Kelly, F., Gibson, P., Rockburn, L., Birnie, D. (oral presentation). Shifting from mechanized ICD replacement to a standardized shared decision-making process: Development of a patient decision aid. Canadian Cardiovascular Congress. Vancouver, British Columbia. 
2. Lewis, K.B., Stacey, D., Carroll, S.L., Clark, L., Brousseau, C., Birnie, D. (oral presentation). Decision support for patients facing implantable cardioverter-defibrillator generator replacement: A feasibility trial. Canadian Cardiovascular Congress. Vancouver, British Columbia.
3. Lewis, K.B., Stacey, D., Carroll, S.L., Clark, L., Kelly, F., Gibson, P., Rockburn, L., Birnie, D. (oral presentation). Considering implementation during PDA development for implantable cardioverter-defibrillator replacement: A qualitative study. International Shared Decision-Making. Lyon, France.
4. Stacey, D., Légaré, F., Lewis, K.B., Barry, M.J., Bennett, C.L., Eden, K.B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., Trevena, L. (oral presentation). Updated Cochrane Review of Patient Decision Aids: With sub-analysis of PDAs used within and in preparation for the consultation. International Shared Decision-Making. Lyon, France.
5. Lewis, K.B., Stacey, D., Carroll, S.L., Clark, L., Kelly, F., Gibson, P., Rockburn, L., Birnie, D. (2017). Development of a user centered designed patient decision aid for implantable cardioverter-defibrillator replacement: Acceptability, usability, and planning for implementation. Research Day, University of Ottawa Heart Institute. Ottawa, Ontario.
6. Carroll, S., Embuldeniya, G., Pannag, J., Lewis, K.B., McGillion, M., Stacey, D. (2016). The challenge of values-elicitation: Understanding how patients’ values guide decision-making in the context of implantable cardioverter defibrillators. The Canadian Journal of Cardiology 10(32). doi:10.1016/j.cjca.2016.07.531 Canadian Cardiovascular Congress. Montreal, Québec. 
7. Lewis, K.B., Stacey, D., Boland, L., Carroll, S.L., Sikora, L., Birnie, D. (2015). Risks and benefits of implantable cardioverter-defibrillator pulse generator replacement: A systematic review. The Canadian Journal of Cardiology 31(10):S332-S333. doi: 10.1016/j.cjca.2015.07.704 Canadian Cardiovascular Congress. Toronto, Ontario. * Winner – Best Student Poster Presentation
8. Munro, S., Bansback, N., Lewis, K.B., Stacey, D. (2015). Choosing treatment and screening options congruent with values: Do patients need help and do decision aids provide it? Sub-analysis of a systematic review. Society for Medical Decision Making, St Louis, Missouri, United States.

*Winner – Lee B. Lusted Student Prize

1. Lewis, K.B., Stacey, D., Squires, J.E. & Carroll, S.L. (2015). Shared decision-making models with an interprofessional approach: A theory analysis. International Shared Decision-Making/ International Society for Evidence Based Health Care. Sydney, Australia. 
2. Lewis, K.B., Stacey, D., Carroll, S.L. & Squires, J.E. (2015). Choosing explicit value clarification methods to support patient decision-making: Is it about process or outcome? International Shared Decision-Making/International Society for Evidence Based Health Care. Sydney, Australia.
3. Stacey, D., Lewis, K.B., Boland, L., & Légaré, F. (2015). Measuring decision making outcomes to inform clinical decisions: a synthesis of Canadian implementation studies. International Shared Decision-Making/International Society for Evidence Based Health Care. Sydney, Australia.
4. Stacey, D., Légaré, F., Col, N., Bennett, C., Barry, M.J., Eden, K.B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., Trevena, L., Lewis K.B. (2015). Cochrane review of patient decision aids: Update reveals 17 new trials for 132 in total. International Shared Decision-Making/International Society for Evidence Based Health Care. Sydney, Australia.
5. Stacey, D., Waters, D., Kryworuchko, J., Lewis, K.B., & Bucknall, T. (2015). Nursing and shared decision-making – bringing the role to light! A special interest group for nurses. International Shared Decision-Making/International Society for Evidence Based Health Care. Sydney, Australia.
6. Lewis, K.B., Nery, P., & Birnie, D. (2014). Decision-Making at the Time of Implantable Cardioverter Defibrillator Generator Change: Patients and Health Care Professionals' Perspectives. The Canadian Journal of Cardiology 30(10): S361–S362. doi: 10.1016/j.cjca.2014.07.677 Canadian Cardiovascular Congress. Vancouver, British Columbia. 
7. Lewis, K.B., Starzomski, R. & Young, L. (2014). An integrative review of the role of nursing in shared decision-making in arrhythmia management. The Canadian Journal of Cardiology 30(10): S359. DOI: 10.1016/j.cjca.2014.07.669 Canadian Cardiovascular Congress. Vancouver, British Columbia.
8. Lewis, K.B., Stacey, D. & Matlock, D. (2014). Patients’ perspectives on ICD decision-making from implantation to end-of-life: An integrative review. The Canadian Journal of Cardiology 30(10): S350. doi: 10.1016/j.cjca.2014.07.642 Canadian Cardiovascular Congress. Vancouver, British Columbia. *Winner – Best Student Oral Presentation
9. Lewis, K.B., Nery, P., & Birnie, D. (2013). Should we routinely replace implantable cardioverter-defibrillator generators? Patients' Perspectives. Research Day, University of Ottawa Heart Institute. Ottawa, Ontario.
10. Lewis, K.B., Nery, P., & Birnie, D. (2013). Should we routinely replace implantable cardioverter-defibrillator generators? Patients' Perspectives. Heart Rhythm Scientific Sessions. Denver, Colorado, United States.
11. Lewis, K.B. & Quinlan, B. (2012). Support groups for implantable cardioverter-defibrillator recipients: Humanizing the lived experience. The Canadian Journal of Cardiology 28(5): S433–S434. doi: 10.1016/j.cjca.2012.07.790 Canadian Cardiovascular Congress. Toronto, Ontario.
12. Jakubzak, M. & Lewis, K.B. (2011). A phased heart failure pathway: Improving patient outcomes. The Canadian Journal of Cardiology 27(5): S343–S344. doi: 10.1016/j.cjca.2011.08.020 Canadian Cardiovascular Congress. Vancouver, British Columbia.