Faculty & Staff



Margot Underwood


Ph: 403-440-7781
Email: munderwood@mtroyal.ca

• Pedagogical and partnership strategies in international community health nursing courses and placements
• Respiratory health promotion and education with a focus on asthma, COPD, and tobacco reduction
• Peer mentorship strategies in nursing programs

Margot’s teaching approach has evolved to one that maximizes collaborative learning through providing a supportive, learner-centered environment that encourages critical reflection, dialogue and active participation. Blending classroom and clinical experiences provides her with the opportunity to scaffold, mentor, and coach students to ensure an integration of theory and practice. Innovative application of transformative learning principles, constructivist approaches and mentorship guides the learning activities for local and international community health experiences.

Prior to teaching at the School of Nursing at Mount Royal University, Margot was a community health clinical instructor in the Faculty of Nursing at the University of Calgary for five years. She also co-developed and led a community health placement in the Dominican Republic for 3rd year nursing students in 2011 and 2012; and collaborated in developing a Nurse as Educator course elective. Prior to this she worked as an Education Consultant and Researcher with the Calgary COPD & Asthma Program, a Trainer for Certified Respiratory Educator (CRE) programs, and a Program Consultant with Alberta Health Services Tobacco Reduction Program.

• Les Macdonald Award for Innovation and Excellence in Asthma Care and Education, Canadian Network for Asthma Care; 2007
• COPD & Asthma Network of Alberta Award of Excellence; 2006

Margot’s research interests include:
• International nursing placements: investigating effective teaching and learning strategies, developing course curriculum, integrating peer mentorship, and utilizing appreciative approaches (In progress: Mawji, A., Lind, C., Loewen, S., Thompson-Isherwood, R., & Underwood, M. The Impact of an International Practice Setting on Nursing Student Learning)
• Evaluating pedagogical approaches in classroom and clinical settings
• Mentorship in respiratory health education (asthma, COPD, tobacco reduction)

Peer-Reviewed Publications
Underwood, MF. Self-Management: Motivational change to enhance behaviour modification. (2010).Canadian Respiratory Journal: 17(Supp. A); 40-41A

Cowie R L, Conley DP, Underwood MF, Reader PG. A randomized controlled trial of the Buteyko technique as an adjunct to conventional management of asthma. (2008) Respiratory Medicine: 102 (5); 726-32

Cowie RL, Underwood MF, Field SK. (2007) Asthma symptoms do not predict spirometry. Canadian Respiratory Journal: 14 (6):339-42

Cowie RL, Underwood MF, Sin DD, Sharpe HM, Bell NR, Man SFP. (2006) Asthma control and management in the community: Indices in 1997 compared with indices in 2002. Canadian Family Physician; 520:750-1

Cowie RL, Underwood MF, Field SK. (2004) Inhaled corticosteroid therapy does not control asthma. Canadian Respiratory Journal; 8: 555-558

Underwood MF, Cowie RL. (2002) Asthma education in Canada. On Air; Issue 7:9-10.

Cowie RL, Underwood MF, Little CB, Mitchell I, Spier S, Ford GTl. (2002) Asthma in adolescents: a randomized trial of an asthma program for adolescents and young adults with severe asthma. Canadian Respiratory Journal: 9:253-9

Cowie RL, Underwood MF, Revitt SG, Field SK. (2001) Predicting emergency room utilization in adults with asthma: a cohort study. Journal of Asthma; 38:179-84

Cowie RL, Underwood MF, Mack S. (2001) The impact of asthma management guideline dissemination on the control of asthma in the community. Canadian Respiratory Journal: 8 (Suppl A):41A-45A

Underwood MF, Revitt SG, Field SK, Cowie RL. (1999) Patient Education in Asthma: Impact of Nurse Educators. Disease Management & Health Outcomes; 5 (6), 303-309

Cowie RL, Revitt SG, Underwood MF, Field SK. (1997)The effect of a peak flow-based action plan in the prevention of exacerbations of asthma. Chest; 112:1534-38

Field SK, Underwood MF, Cowie RL. (1996) Prevalence of Gastroesophageal Symptoms in Asthma. Chest; 109:316-322

Key Presentations/Abstracts

Loewen, S., Underwood, MF. Gaining cultural competence through Community Health Nursing Placements in the Dominican Republic. Daphne Cockwell School of Nursing 3rd Annual Research Day: Advancing Research for Health in our Global Community, Ryerson University, June, 2010.

Underwood MF, Batista N, Batista A, Revitt SG, Cowie RL. (2009) Partnership lung health initiatives in a Dominican Republic community. Am. J. Respir. Crit. Care Med; 179:A3749

Cowie RL, Carley JR, Underwood MF. (2003) Respiratory health in a Hutterite community. Eur Respir J; 22:120S

Cowie RL, Underwood MF, Revitt SG, Field SK. (2001) Asthma lifestyle score – the value of patient self-assessment in asthma. Am J Respir Crit Care Med;163:A318

Underwood MF, Revitt SG, Cowie RL, Field SK. (1998) Impact of nurse educators on patient management outcomes in an asthma clinic Am J Respir Crit Care Med.:157:A39.

Cowie RL, Underwood MF. (1997). Does cost affect adherence with inhaled corticosteroid therapy for asthma? Am J Respir Crit Care Med;155:A351

Underwood MF, Cowie RL. (1997) Lack of response among rural family physicians to a local asthma education program. Am J Respir Crit Care Med;155:A69

Underwood MF, Cowie RL, Witt S. (1997) Effectiveness of a nurse clinician-based rural asthma education program. Am J Respir Crit Care Med;155: A568

McGhan S, Spooner C, Cox C, Krupa E, Gilmour B, Underwood M, Biggs D, Befus D, Cave A. (1996) ProCAM: Professional Certification in Asthma Management. Am J Respir Crit Care Med.

Cowie RL, Underwood MF, Field SK. (1995) The lack of impact or of utilization of guidelines for management of acute asthma in the emergency department. Am J Respir Crit Care Med; 151:A610

Cowie RL, Underwood MF.(1994)The effectiveness of a brief asthma program in preventing exacerbations of asthma, Am J Resp Crit Care Med; 149:A251

Underwood MF, Cowie RL, Witt S. (1995) A nurse-clinician based rural asthma education program. Canada’s Second National Conference on Asthma and Education, Quebec City

Cowie RL, Underwood MF. (1993) Do household pets influence asthma? Am J Resp Crit Care Med; 147:A118

Underwood MF, DeForest J, Interdisciplinary Collaboration in a CME Asthma Course, National
Conference on Asthma and Education, 1993

Key Invited Presentations:
• CARTA Conference, fall 2010, “Tobacco Reduction”
• Alberta Respiratory Disease Symposium, 2010, “Models of Self-Management in Respiratory Disease”
• ASED Conference, 2005-2009, “What’s In, What’s Out in Education”; “Motivated to Change”; “Canadian Respiratory Educators Programs/Surveys”
• Canadian Respiratory Conference, 2009, “Self-Management: Motivational Change to Enhance Behaviour Modification”; “Research and Program Evaluation”, “Interdisciplinary teams”; “If We Build It, Will they Come?”
• Alberta Lung Association (RHCP) Research Day: “Effectiveness of a Southern Alberta Asthma Program”, 1998
• Alberta Asthma Network Conference, “Adolescents and Asthma”, 1998 and 1999
• International Council of Nurses Conference, “Asthma: The Alberta Experience”, ‘97
• Alberta Asthma Network Conference, “Young Adult Asthma Program”, 1997SERVICE
Director, Canadian Network for Respiratory Care, 2004-Present
President, Partners In Deed Society of Alberta, 2007-Present
Board member, COPD and Asthma Network of Alberta (CANA), 2002-2006; 2012

Chair, Canadian Network for Respiratory Care (CNRC) Education/Recertification, 2006-Present
MRU/U of C Research Team, Evaluating Dominican Republic Community Health Placement, 2010-Present
Respiratory Strategic Clinical Network Core Committee, 2010-2012
Respiratory Strategic Clinical Network Working Group (Asthma and Clinical Indicators), 2010-2012

Incorporating Appreciative Inquiry approaches in international placements, charity partnerships and community health initiatives.