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Clinical Research

Bringing Discoveries to the "Bedside"

Dr. Kendra Rieger

Dr. Kendra Rieger

Psychosocial Oncology and Cancer Nursing Research

Assistant Professor
College of Nursing, Rady Faculty of Health Sciences, University of Manitoba

Research Focus

My research program explores the arts as ways of knowing, expressing, and healing in healthcare. I am focused on research with individuals living with cancer and am also interested in projects which incorporate arts-based approaches in other fields. My interests include arts-based research methods, arts and health interventions for psychosocial care, arts-based pedagogy, arts-based knowledge translation, and systematic reviews. I am passionate about using arts-based research methods to understand the health and illness experiences of diverse groups of people to promote health equity. I enjoy working collaboratively with researchers, patients, and stakeholders to develop relevant research findings which can positively impact the health and well-being of Canadians. My current research projects include using digital storytelling as an arts-based method to understand Indigenous women’s experiences of breast cancer, investigating mindfulness-based expressive arts interventions for the psychosocial care of patients with cancer, and evaluating an arts-based knowledge translation initiative in oncology. I have expertise in qualitative and quantitative research approaches, and in conducting quantitative, qualitative, and mixed-methods systematic reviews.

About Dr. Kendra Rieger

Kendra Rieger, RN, PhD, is an Assistant Professor in the College of Nursing at the University of Manitoba. She has extensive clinical experience in various in-patient settings and expertise in arts-based approaches in healthcare, storytelling, and evidence synthesis. As the first graduate of the College of Nursing’s new doctoral program, a CIHR Frederick Banting and Charles Best and Canada Graduate Scholarships Doctoral Award recipient, and an expert in the emerging field of arts and health research, she is an innovative scholar who is advancing methodological approaches to developing new knowledge. She completed her PhD in Nursing (2017) and Bachelor of Nursing with distinction (2005) at the University of Manitoba. She has received numerous awards for research excellence including the 2019 Society for Integrative Oncology New Investigators’ Forum Award, 2018 Association of Registered Nurses of Manitoba Medal of Excellence, and 2016 Canadian Association for Nursing Research Rising Star Graduate Student Award. She teaches an undergraduate evidence-informed practice course and a philosophy of nursing science graduate course in the College of Nursing.

For more information, please contact:

Dr. Kendra Rieger
Tel. (204) 474-7107
Email. Kendra.Rieger@umanitoba.ca

In Detail

 

Arts-based Research for Health Equity 

Arts-based Research for Health Equity In Manitoba, breast cancer mortality has increased for First Nations women while it has decreased for all other women. As well, First Nations women are significantly more likely to be diagnosed with advanced breast cancer. Western approaches to Indigenous research and healthcare practices have had limited effectiveness on patient outcomes. In my funded research project, Engaging patients and Elders in an exploration of Indigenous women’s experiences of breast cancer using digital storytelling, we engaged with First Nations women to assess the feasibility, meaningfulness, and appropriateness of using digital storytelling to explore their breast cancer experiences. Our conversations with the women were profound and provided deep insights into First Nations women’s experiences with breast cancer. Based on their feedback, and the findings of a systematic review I am co-leading on digital storytelling, we are embarking on a research project in which the workshop participants have become full research team members to elevate storytelling as a decolonizing method in Indigenous health research.

Arts and Health Interventions for Psychosocial Care of Patients with Cancer 

Given the significant challenges associated with treatment, symptoms, and uncertainty about future health, over one-third of patients with cancer experience significant emotional distress. There is a growing interest in the integration of mindfulness practices with expressive arts to address patients’ distress in oncology. I am leading a funded constructivist grounded theory study in which we are developing a theoretical understanding of how patients with cancer experience, utilize and draw meaning from a 10-week mindfulness-based expressive arts group at CancerCare Manitoba. Our grounded theory provides insight into how integrating mindfulness and art-making within a group context became a powerful way for participants to discover and process hidden thoughts and emotions. Although it was challenging work, it created a unique healing space for meaning-making and fostered a transformative group experience for many. This study will provide concrete “how-to” information that will enable practitioners to implement more effective health services for patients who have cancer. Our findings will also enable the manualization of the intervention and measurement of quantitative outcomes that are valuable to patients. This work, paired with my funded systematic review of mindfulness-based arts interventions, will lay the foundation for future research about this promising approach.   

Arts-based Knowledge Translation in Oncology 

Arts-based knowledge translation can be used to share study findings in an engaging and meaningful way with diverse audiences and foster critical reflection and dialogue. To share our findings, I am leading the development of an art exhibit that displays photographs of participants’ artwork alongside research findings from the aforementioned mindfulness-based arts study. During the group, participants expressed themselves in various activities, including an art journal, an emotional continuum sketchbook, a body outline, and a mandala. In this art exhibit, we plan to showcase photographs of their artwork to illuminate our research findings. We believe that this arts-based knowledge translation strategy will engage attendees with the lived experiences of our participants and foster a deep understanding of our findings. We are planning to evaluate the impact of the art exhibit as there is nascent research investigating this knowledge translation strategy in oncology. 

Rieger, K.L., Chernomas, W.M., McMillan, D.E., & Morin, F.L. (2019). The arts as a catalyst for learning with undergraduate nursing students: Findings from a constructivist grounded theory study. Arts and Health: An International Journal for Research, Policy and Practice, DOI: 10.1080/17533015.2019.160856

Rieger, K.L. (2018). Discriminating among grounded theory approaches. Nursing Inquiry, 26(e12261). https://doi.org/10.1111/nin.12261

Rieger, K.L, Lobchuk, M.M., Duff, M.A., Chernomas, W.M, Campbell-Enns, H.J., Demczuk, L.,  Nicolas, S., & West, C.H. (2018). The effectiveness of mindfulness-based arts interventions on psychological wellbeing and fatigue in adults with physical illness: A  systematic review protocol. The JBI Database of Systematic Reviews and          Implementation Reports, 16(7), 1476–1484. doi: 10.11124/JBISRIR-2017-003446

**Rieger, K. L., **West, C.H., Kenny, A., Chooniedass, R., Demczuk, L., Mitchell, K. M.,     Chateau, J., & Scott, S. D. (2018). Digital storytelling as a method in health research: A   systematic review protocol. BMC Systematic Reviews, 7(41), 1-7.  http://rdcu.be/Ip0d  **shared first authorship

**West, C., **Rieger, K.L., **Chooniedass, R., Adekoya, B., Isse, A., Karpa, J., Waldman, C., Peters-Watral, B., Chernomas, W., Scruby, L., & Martin, D. (2018). Enlivening a     community of authentic scholarship: A faculty-mentored experience for graduate students at the 2016 Qualitative Health Research Conference. International Journal of Qualitative Methods,17(1-15) . doi: 10.1177/1609406918808122 **shared first authorship

Martin, D., Rieger, K.L., Lennons, S., Mordoch, E., Mangiacotti, R., Camilleri, K., Busola, D., Simpson, M., & Richard, A. (2018). Building bridges through understanding the village workshop: Transforming nursing students’ perspectives of Indigenous people and     Canadian history. Quality Advancement in Nursing Education, 4(2), 1-16.

Rieger, K.L., Hack, T.F., Beaver, K., & Schofield, P. (2017). Should consultation recording use be a practice standard in oncology care? A systematic review of the effectiveness and implementation of consultation recordings. Psycho-Oncology, 1–8. doi   10.1002/pon.4592

Mitchell, K., Rieger, K.L., & McMillan, D.E. (2017). A template analysis of writing self-efficacy measures. Journal of Nursing Measurement, 25(2), 205-22.

Chernomas, W.M., Rieger, K.L., Karpa, J.V., Clarke, D., Marchinko, S., & Demczuk, L. (2017).  Psychotic illnesses and young women’s experiences: A systematic review of qualitative research. The JBI Database of Systematic Reviews and Implementation Reports. 5(3),    694-73

 Rieger, K.L., Chernomas, W. M., McMillan, D. E., Morin, F., & Demczuk, L. (2016). Effectiveness and experience of arts-based pedagogy among undergraduate nursing students: A  mixed-methods systematic review. The JBI Database of Systematic Reviews and Implementation Reports, 14(11), 139–239. doi: 10.11124/JBISRIR-2016-003188

Cepanec, D., Humprhies, A., Rieger, K.L., Marshall, S., Londono Calle, Y., & Clarke, D. (2016). Building graduate student capacity as future researchers through a research and training award program. Journal of Nursing Education, 55(5), 284-287. doi:10.3928/01484834-20160414-08

Rieger, K.L., & Heaman, M.I. (2016). Factors associated with high levels of perceived prenatal stress among inner-city women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 45(2), 180-195. doi:10.1016/j.jogn.2015.12.005

 Martin, D., Mordoch, E., & Rieger, K.L. (2016). Walking side by side on a journey of reconciliation. Canadian Nurse, 112(4), 28-29.

 McMillan, D.M., Grantham, D., Zenchyshyn, N., & Rieger, K.L. (2016). Evaluating patient satisfaction on acute leukemia/bone marrow transplant day/night treatment unit: A        pilot project. Canadian Oncology Nursing Journal, 26(2), 171-172.

 Rieger, K.L., Chernomas, W. M., McMillan, D. E., Morin, F., & Demczuk, L. (2015). The effectiveness and experience of ABP among undergraduate nursing students: A         comprehensive systematic review protocol. The JBI Database of Systematic Reviews and  Implementation Reports, 13(2), 101-124.

Chernomas, W.M., Rieger, K.L., Karpa, J.V., Clarke, D., Marchinko, S., & Demczuk, L. (2015).  Psychotic illnesses and young women’s experiences: A systematic review protocol of qualitative research. The JBI Database of Systematic Reviews and Implementation  Reports, 13(3), 79-90.

Clarke, D. E., Marchinko, S., Chernomas, W.M., Rieger, K.L., Karpa, J.V, & Demczuk, L. (2015).      The effectiveness of early psychosis programming for young women: A systematic review of quantitative evidence. The JBI Database of Systematic Reviews and Implementation Reports, 13(6), 114-126.

Rieger, K.L., & Schultz, A.S.H. (2014). Exploring arts-based knowledge translation: Sharing research findings through performing the patterns, rehearsing the results, staging the synthesis. Worldviews on Evidence-based Nursing, 11(2), 133-139. doi:  10.1111/wvn.12031

Rieger, K.L., & Chernomas, W.M. (2013). Arts-based learning: An analysis of the concept for nursing education. International Journal of Nursing Education Scholarship, 10(1), 1-10.

2019 – Society for Integrative Oncology New Investigators’ Forum Award

2018 –  Association of Registered Nurses of Manitoba Medal of Excellence

2014-2018 – Sir Gordon Wu Graduate Student Scholarship

2014-2017 – Canadian Institutes of Health Research Frederick Banting and Charles Best Canada Graduate Scholarships Doctoral Award

2016 – Canadian Association for Nursing Research Rising Star Graduate Student Award

2013-2015 – Manitoba Health Research Council Studentship Award

2014-2015 – Joanne Greene Memorial Scholarship

2013-2014 – Irene E. Nordwich Foundation Graduate Student

2013-2014 – Foundation for Registered Nurses Graduate Scholarship

2012-2013 –  University of Manitoba Graduate Fellowship Renewal

2012-2013 – Foundation for Registered Nurses of Manitoba Graduate Award

2012-2013 – Irene E. Nordwich Foundation PhD Award

2012-2013 – Margaret Elder Hart Graduate Study Award

2012 – University of Manitoba Graduate Student Travel Award

2012 – Applied Health Sciences Research Day Poster Competition Poster Award

2011-2012 – University of Manitoba Graduate Fellowship

Funding (current or held)

 Harder, N., Rieger, K.L., & Graham, L. (2019-2020). The impact of drama-based primer activities on student participation in role-play simulation experiences: An exploratory qualitative descriptive study. College of Nursing Endowment Fund Research Grant in Professional Foundations. $7500 (Co-Investigator)

West, C. H., Rieger, K.L., Kenny, A., Dusome, D., Schulte, F., Winsor, J., Crysdale, J., Pelletier, W., Klippenstein, A., Lobchuk, M., & Archibald, M. (2019-2020). Expressive healing network: Partnering to create meaningful change for children and families in pediatric blood and marrow transplant. Children’s Hospital Research Institute of Manitoba, 2019          Operating Grant Competition. $60,000 (Co-Investigator)

Woodgate, R.L., Rieger, K.L., Cepanec, D., & Blanchard, L., (2019 – 2020). A secondary document analysis of the use of qualitative research evidence of patients’ perspectives in Canadian clinical practice guidelines. College of Nursing Endowment Fund Research Grant. $7,500 (Co-Investigator)

Hyde, E. K., Martin, D.E., Rieger. K.L., & Malone, R. (2019 – 2020). Health care professionals’ perspectives of factors shaping sexual health education for adults with acute coronary syndrome in cardiac rehabilitation programs: An interpretive description. Faculty of Nursing Endowment Fund Graduate Student Research Grant. $5000 (Co-Investigator)

Rieger, K.L., Bennett, M., Hack, T.F., & Martin, D.E. (2018 – 2019). Engaging patients and Elders in an exploration of Indigenous women’s experiences of breast cancer using digital storytelling. George and Fay Yee Centre for Healthcare Innovation Funding Award for Patient and Public Engagement. $2000 (Principal Investigator)

Rieger, K.L., Hack, T.F., Campbell-Enns, H., Duff, M., & West, C. (2018 – 2019). The experience of mindfulness-based expressive arts among patients with cancer. The           Manitoba Medical Service Foundation Operating Grant. $ 25,000 ($12,500 from the    Manitoba Medical Service Foundation and $12,500 from The Winnipeg Foundation)   (Principal Investigator)

Rieger, K.L., Hack, T.F., Campbell-Enns, H., Duff, M., & West, C. (2018-2019). The experience of mindfulness-based expressive arts among patients with cancer. University Research Grants Program. $7,488 (declined in lieu of MMSF funds awarded) (Principal Investigator)

Rieger, K.L., Chernomas, W.M., Duff, M., Lobchuk, M., Campbell-Enns, H., Nicolas, S., Demczuk, L., & West, C. (2017-2019). The effectiveness and experiences of mindfulness-based arts interventions in healthcare: A mixed-methods systematic review. Manitoba Centre for Nursing and Health Research Grant Collaborative Research Grant Competition. $7,500 (Principal Investigator)

Mitchell, K., Armah, N., Lelond, S., Martin, K., Rieger, K.L., Chernomas, W., Martin, D.,     McMillan, D., Russel, H., Scruby, L., & West, C.  (2018-2019). Advancing a community of qualitative inquiry: Engaging graduate nursing students in reciprocal mentorship at the   2018 International Institute of Qualitative Methodology Qualitative Health Research    Conference. College of Nursing Endowment Fund. $17,485 (Co-Investigator) 

Tricco, A. (NPI) & Abou-Setta, A., Clement, F., Colquhoun, H., Curran, J., Godfrey, C.,  Isaranuwatchai, W., LeBlanc, A., Li L., Moffitt, P., Moher, D., & Straus, S. (PIs).  Operating          Grant: CIHR SPOR – Guidelines and Systematic Reviews. This SPOR network includes 76      co-investigators including Cepanec, D, Demzuk, L., Rieger, K.L, Temple, B., Woodgate, R.       L. Amount of funding: $4,997,000.00 (CIHR), plus $10,829,000 in matched funds 2017-  2022. (Co-Investigator)

**West, C., **Rieger, K.L., Kenny, A., Chooniedass, R., Demczuk, L., Chateau, J., & Scott, S. (2017-2019). Digital storytelling as a method for health research: A mixed-methods systematic review. Manitoba Centre for Nursing and Health Research Grant. $7,500 (**Co-Principal Investigators)

Rieger, K.L. Early Career Academic Grant. (2017). The Association of Commonwealth  Universities. $2,000 (GBP). (Principal Investigator)

Karpa, J., Isse, A., Peters-Watral, B., Rieger, K.L., Chooniedass, R., Martin, D.,  Chernomas, W., Scruby, L., & West, C. (2017-2018). Advancing a Community of       Authentic Scholarship: A Peer-Mentored Experience for Graduate Nursing Students at the 2017 International Institute of Qualitative Methodology Qualitative Health Research Conference. College of Nursing Endowment Fund. $15,200.00 (Co-Investigator)

Buchhold, N., Mangiacotti, R., Pot, K., Martin, D., Mordoch, E., Rieger, K.L., Jensen, F. & Stewart, J. (2017-2018). Building Bridges through understanding the village: An inter-professional workshop for health sciences students and faculty. College of Nursing Endowment Fund. $6,615 ($2500 from Indigenous Achievement). (Co-Investigator)

McMillan, D.E., Rieger, K.L., Grantham, D., & Zenchyshyn, N. (2016-2017). A mixed methods evaluation of patient satisfaction and symptom experiences on an acute hematology oncology unit and an acute leukemia/bone marrow transplant day/night treatment unit. Manitoba Centre for Nursing and Health Research Collaborative Research Grant. $7,500 (Co-Investigator)

McMillan, D.E., Plouffe, J., Duncan, G., Brown, D., & Rieger, K.L. (2016-2017). Patient and family perceptions of a bedside communication white board: Supporting patient and family engagement in planning discharge at Health Sciences Centre. Health Sciences Centre Foundation, Dolly and Michael Gembey Nursing Research Grant. $5,972 (Co-Investigator)

Clyne, C., Hibi, R., McIntosh, M., Rieger, K.L., Martin, D., & Mordoch, E. (2016-2017). Every child matters: Indian residential school awareness walk with students’ reflections. College of Nursing Endowment Fund. $5,549 (Co-Investigator)

Waldman, C., Rieger, K.L., Johnson, S., Howell, M., Martin, D., West, C., & Mordoch, E. (2016-2017). Deeper dives into qualitative research: A faculty-mentored experience for graduate nursing students at the 2016 IIQM qualitative health research conference.   College of Nursing Endowment Fund. $15,859 (Co-Investigator)

Loeppky, J., Cortes-Toro, M., Curtis, H., Waloshuk, H., Zot, V., Clyne, C., Stewart, J., Hibi, R., Mangiacotti, R., Cotvriendt, A., Rieger, K.L., Martin, D., & Mordoch, E. (2016-2017).            Paddling together: Experiential workshops for nursing students and faculty. College of Nursing Endowment Fund. Amount: $5280 (and $5280 from Indigenous Achievement) (Co-Investigator)

Rieger, K.L., & Chernomas, W.M. (2014-2016). Nursing students’ experiences with ABP: A constructivist grounded theory study. Faculty of Nursing Endowment Fund Graduate Student Research Grant. $5000 (Principal Investigator)

Cortes-Toro, M., Curtis, H., Waloshuk, H., Rieger, K.L., Martin, D., & Mordoch, E. (2015-2016).    Orange shirt day – every child matters: Indian residential school awareness walk with students’ reflections. College of Nursing Endowment Fund. $7113 (Co-Investigator)

Chernomas, W.M., Clarke, D., Marchinko, S., Rieger, K.L., Karpa, J., & Demczuk, L. (2014). What is the state of science in relation to psychosocial aspects of living with schizophrenia within the context of early psychosis programs? A systematic review. Manitoba Centre for Nursing and Health Research Systematic Review Award. $10,000 (Co-Investigator)

**Chernomas, W.M., **Rieger, K.L., McMillan, D.E., & Morin, F. (2014). What is the impact of ABP on undergraduate nursing student learning? Manitoba Centre for Nursing and Health Research Systematic Review Award. $5000 (**Co-Principal Investigators) 

Rieger, K.L., & Heaman, M.I. (2013). Factors associated with prenatal maternal stress among inner-city women. Manitoba Centre for Nursing and Health Research Graduate Student Research Award. $5000 (Principal Investigator)

Mordoch, E., Martin, D., Rieger, K.L., Cook, C., Van Eindhoven, C., & Hart, E. (2014-2015). We were so far away: The Inuit experience of residential schools. Faculty of Nursing Endowment Fund. $7114 (Co-Investigator)