Tanya Zeron Professional Portfolio
Guiding Questions for Stakeholder Identification
Expertise in the health problem or its causes
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Who has content knowledge relative to the health problem or its causes? Individuals with lived experience, Kamloops Brain Injury Society/Associations, Emergency department physicians and nurses, community occupational therapists, Primary care providers (family physicians, nurse practitioners), Physiotherapists and speech-language pathologists involved in BI recovery, psychiatrists
Who knows about similar problems? Neurology, Stroke Network, Rural and remote health service planners, mental health programs, psychiatrists, Indigenous Wellness providers
Who is well respected for knowledge of this health problem or others like it? Neurologists and Psychiatrists, Occupational Therapists, Brain Injury Organizations
Who has worked on a similar needs assessment or program? Academic researchers involved in BI service mapping or post-injury education, Addictions Medicine, Neurological Programs.
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Diverse perspectives and community participation
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Who has needs and perspectives related to the problem?
Individuals with lived experience, family and caregivers benefit from the Service providers who also have needs to better understand how to support their patients. The health system planners who can support education as a prevention strategy to prevent re-injury or initial injury. Primary Care Teams, Community brain injury organizations, vocational rehab providers involved in return to work, Indigenous providers
When programs are developed related to the needs and problems, who are the potential clients, participants, or beneficiaries? Healthcare Service Providers, Emergency department physicians and nurses, UPCC staff, Allied Health, Addictions Medicine, Social Workers. While individuals with lived experience, family and caregivers, the community, and health system are all beneficiaries.
Who already works with potential beneficiaries? ED physicians and nurses, Primary Care and UPCC teams, Allied Health, Mental Health and Substance Use Teams, Case Managers, Vocational Rehab professionals.
Who can help the planning group clarify values related to the needs assessment and intervention development? Individuals with lived experience, caregivers and families, Community Brain Injury Organizations, Indigenous partners.
Who are the potential critics of the program or initiative? Individuals with lived experience, family members, health care providers, operational managers concerned about staffing and capacity, knowledge translation experts.
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Responsibility and authority
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Who will manage the needs assessment and program development: The needs assessment and program development can be done by the health authority evaluation team/department. Alternatively, it can be managed by a health promotion lead or project coordinator with knowledge of BI and population health. Academic partners from university faculty or graduate researchers could support for methodological guidance for the needs assessment. Having individuals with lived experience is important to include from the initial stages of program development, therefore it would be best if they can be included in the needs assessment as well. Senior health authority leaders and program sponsors would provide oversight and authorization, related to data access, alignment with organizational priorities, and sustainability planning. ​
Who is the funder: Ideally, the public health authority would fund the program development. However, the Stroke Network Innovation grant, Injury Prevention Grants, or Kelowna General Hospital Foundation grant could support with funding if the program aligns with their mandates. Staff time, evaluation expertise could be completed by the health authority as well.
Who can become a partner in the assessment and program development? Individuals with lived experience and their families or caregivers. University of British Columbia Okanagan, Kamloops BI Association, as well as BC BI association. CONNECT Rehabilitation, Healthcare service providers across settings such as emergency departments, primary care, rehabilitation units, and community rehab. BC Injury Prevention Lead, Indigenous Health organizations, and social service organizations supporting individuals with complex or intersecting needs, to ensure the program is equity-informed and contextually relevant
Who can bring resources to the endeavor? In today’s fiscal landscape resources will best be sourced by multiple stakeholders. Starting with health systems and academic institutions to for data access, evaluation capacity and expertise. Kamloops Brain Injury Association for local knowledge needs. Communications teams, professional education bodies, and community networks could also contribute dissemination capacity, credibility, and access to target audiences, supporting effective knowledge translation.
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Influence
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Who has served as a resource to community members for this problem or related ones?Kamloops Brain Injury Association serving the rural Thompson Cariboo Region. community-based non-profits, which provide education, peer support, and navigation assistance. Primary Care and Emergency Departments who are often the first point of contact following injury, or where patients without a family physician will present for follow-up care if symptoms persist. Community Allied Health professionals. It should be of note that in rural settings in rural settings, these resources often function as generalist supports, addressing multiple health and social needs due to limited-service availability. Private physiotherapy clinics who support concussion rehabilitation.
What policy makers have worked on this type of problem? Policy work related to BI and injury prevention in British Columbia involves multiple levels of governance. This includes BC Ministry of Health departments with responsibility for injury prevention, rural health planning, and equity of access to care. At the provincial level, the BC Brain Injury Association has played an advocacy role, including supporting the development of Bill C-206, which calls for a national strategy on BI.At the regional and local levels, policy-related work involves IH leadership and public health teams, and municipal and regional district leadership.
Who are opinion leaders who might have an interest in this type of problem: Healthcare providers at Cariboo Memorial Hospital such as emergency physicians, nurses, rehabilitation therapists, and primary care providers. Executive Director of Kamloops Brain Injury Association who services the TCR region. Indigenous Leaders from the Secwepemc region.
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Commitment to the issue
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Who can help the planning team access expertise and other resources of the community: Individuals with lived experience are the individuals with the most expertise and can support planners in connecting with the resources in community. Indigenous engagement leads from the health authority can support in connecting with Secwepmec nation leaders and planners. The local Brain Injury Society can also support with connection.
Who can garner support and buy-in to the project? Providers from Emergency Departments and Primary Care who are trusted and respected professionals in the community. Additionally, the Brain Injury Association who can advocate for the importance of a prevention strategy.
Who will want to help the needs assessment team develop and disseminate its conclusions?
Interior Health’s communications team could help make the findings accessible and easy to understand, and support sharing them with a broad range of audiences. Community brain injury organizations, public health teams, healthcare providers, and academic partners may also help translate and share findings with both community and system audiences.
Who might advocate for the assessment and intervention development?
Individuals with lived experience of BI and their families, are likely to be strong advocates by sharing experience on gaps in education and support. The BC Brain Injury Association may also play an advocacy role given its mandate to raise awareness and support system-level improvements. Service providers who support people living with BI may advocate for this work to strengthen their knowledge and available resources. WorkSafeBC may also have an interest in supporting initiatives that promote increased recovery outcomes and return-to-work following workplace-related injuries.
Who has been working on the problem from a research perspective?
Research on brain injury and injury prevention in the region has been supported by researchers at Thompson Rivers University and UBC Okanagan. Provincial brain injury and injury prevention organizations also support research through knowledge synthesis, data collection, and partnerships with academic institutions.