Patrick O'Byrne


Patrick O'Byrne
Associate Professor

2016 Nurse Practitioner Diploma Queen’s University
2010 Post-Doctorate Medicine University of Toronto
2009 Post-Doctorate Nursing University of California, San Francisco (UCSF)
2008 PhD Nursing University of Ottawa
2005 MScN. (Transfer to PhD) Nursing University of Ottawa
2004 BScN Nursing University of Ottawa

Room: RGN 1480D
Office: 613-562-5800 ext. 8917
Work E-mail:

Patrick O'Byrne


Patrick O’Byrne RN-EC PhD is an Associate Professor of Nursing at the University of Ottawa. His research and clinical work as a nurse practitioner focus on the prevention, diagnosis, and treatment of sexually transmitted infections and HIV. Dr. O’Byrne’s work includes the provision of HIV medications to prevention HIV transmission (known as pre-exposure prophylaxis and post-exposure prophylaxis), and the delivery of culturally sensitive and appropriate nursing services for members of the groups most affected by sexually transmitted infections and HIV. He holds an OHTN Research Chair in Public Health and HIV Prevention.

Research Interests

  • Public health nursing
  • Marginalized populations
  • Sexual health
  • Sexually transmitted infections and HIV
  • HIV prevention
  • Critical theory and Politics
  • Nursing
  • Intersection of health and law

Peer Reviewed Publications

  • O’Byrne P, Jacob JD. (epub). The evolution of HIV prevention: from discipline to control. Advances in Nursing Science.
  • Pearson Jeske C*, O’Byrne P. (Accepted). Methadone maintenance treatment as social control: a review of patient experiences. Journal of Addiction Nursing.
  • O’Byrne P, Orser L*. (2019). Express testing for sexually transmitted infections: clinical results. Journal of Research in Nursing.
  • O’Byrne P, MacPherson PA, Orser L*, Jacob JD, Holmes D. (Accepted). PrEP-RN: clinical considerations and protocols for nurse-led PrEP. Journal of the Association of Nurses in AIDS Care.
  • O’Byrne P, Jacob JD, Orser L*, Bourgault A, Lee S. (epub). Responding to critiques of the Canadian PrEP guidelines: Increasing equitable access through a nurse-led active-offer PrEP service (PrEP-RN). Canadian Journal of Human Sexuality, 28(1), 5-16.
  • O’Byrne P. (2019). Population health and social governance: A review, an update, some clarifications, and a response. Qualitative Health Research, 29(5), 731-738.
    *solicited manuscript
  • O’Byrne P, Pearson Jeske, C*. (ePub). Perceptions and experiences of methadone maintenance treatment: a qualitative descriptive research study. Nursing Inquiry.
  • O’Byrne P, Orser L*, Jacob JD. 2019. The psychologic side effects of PEP use: forced reflection and introspection on sexual decision-making. Research and Theory for Nursing Practice: An International Journal, 33(2).
  • O’Byrne P. 2019. A 55-year-old male with rigors after gonorrhea treatment. Canadian Family Physician, 65(2), 35-41.
  • O’Byrne P, MacPherson PA, Kitson C*, Bourgault A. 2019. Consideration of sexually transmitted infections in the differential diagnosis: case studies. Journal of the American Association of Nurse Practitioners, 31(1), 65-71.
  • Watts J*, O’Byrne P. 2019. “I don't care if you think I'm gay ... that won't make me either promiscuous or HIV positive”: HIV, Stigma, and the Paradox of the Gay Men's Sexual Health Clinic. Advances in Nursing Research, 47, 1-3.
  • O’Byrne P. 2019. Screening for gonorrhoea and chlamydia: an update for practice. The Nurse Practitioner, 44(2), 35-41.
  • Orser L*, O’Byrne P. 2019. The role of public health units in providing HIV pre-exposure prophylaxis. Canadian Journal of Public Health, 110(1), 72-75.
  • O’Byrne P, Jacob JD, Orser L*. 2018. Exploring a nurse-led HIV PEP pilot: unmentionability, stigma, and failed citizenship. Policy, Politics & Nursing Practice, 19(1-2), 29-39.
  • O’Byrne P, Orser L*, MacPherson P, Valela N*. 2018. The patient rationale for seeking HIV PEP: qualitative results from a nurse-led program. Public Health Nursing, 35(5), 386-395.
  • O’Byrne P, Jacob JD.  2018. Screening for depression: Review of the PHQ-9 for nurse practitioners. Journal of the American Association of Nurse Practitioners, 30(7), 406-11.
  • O’Byrne P. 2018. Drug use among gay men: expanding contemporary understandings for nursing practice. Research & Theory for Nursing Practice: An International Journal, 32(3), 296-310.
  • O’Byrne P, MacPherson P, Orser L*. 2018. Nurse-led HIV PEP program used by men at high-risk for HIV seroconversion. Journal of Association of Nurses in AIDS Care, 29(4), 550-9.
  • O’Byrne P. 2018. Discussions about STI Histories and HIV-Statuses Among Gay Men in Ottawa, Canada: An HIV Prevention Analysis. Canadian Journal of Human Sexuality, 27(1), 79-91.
  • O’Byrne P, Orser L*. 2018. Overfilled urine specimens for gonorrhea and chlamydia testing: implications for clinical practice.  Applied Nursing Research, 39, 121-124.
  • Tan DHS, Hull MW, Yoong D, Tremblay C, O’Byrne P, Thomas R, Kille J, Baril JG, Cox J, Giguere P, Harris M, Hughes C, MacPherson P, O’Donnell S, Reimer J, Singh A, Barrett L, Bogoch I, Jollimore J, Lambert G, Lebouche B, Metz G, Rogers T, Shafran S. 2017. Canadian guidelines on HIV pre-exposure prophylaxis and non-occupational post-exposure prophylaxis. Canadian Medical Association Journal, 189(47), 1448-58.
  • O’Byrne P, MacPherson P, Roy M*, Orser L*. 2017. Community-Based, Nurse-Led HIV Post-Exposure Prophylaxis: Results & Implications. International Journal of STD & AIDS, 28(5), 505-11.
  • Spatz Friedman D, O’Byrne P, Roy M*. 2016. Comparing those Diagnosed Early versus Late in their HIV Infection: Implications for Public Health. International Journal of STD & AIDS, 28(7), 693-701.
  • O’Byrne P, MacPherson P, DeLaplante S, Metz G, Bourgault A. 2016. Approach to Lymphogranuloma Venereum. Canadian Family Physician, 62(7), 554-8.
  • O’Byrne P, MacPherson P. 2016. Examining HIV Treatment as Prevention: What is it, and What does it Mean for Patients? Canadian Medical Association Journal 188(3), 198-203.
  • O’Byrne P, Roy M*, Kitson C*. 2016. Overviewing a Nurse-Led, Community-Based HIV PEP Program: Applying the Extant Literature in Frontline Practice. Public Health Nursing, 29, 177-187.
  • O’Byrne P, Holmes D, Roy M*. 2016. Counselling about HIV Serological Status Disclosure: Nursing Practice or Law Enforcement? A Foucauldian Reflection. Nursing Inquiry, 22(2), 134-46.
  • O’Byrne P, Phillips JC, Campbell B, Reynolds A, Metz G. 2016. “Express testing” in STI clinics: extant literature and preliminary implementation data. Applied Nursing Research 29, 177-187.
  • Foth T, O’Byrne P, Holmes D. 2015. Health prevention in the era of biosocieties: a critical analysis of the ‘seek-and-treat’ paradigm in HIV/AIDS prevention. Nursing Inquiry, 23(2), 99-108.
  • Moores A*, Phillips JC, O’Byrne P, MacPherson PM. 2015. Anal cancer screening knowledge and experiences of MSM in Ottawa: Implications for prevention and screening in Canada. Canadian Journal of Human Sexuality, 24(3), 228-236.
  • O’Byrne P, Ember A, MacPherson P, Grayson MO, Bourgault A. 2014. Overviewing a Gay Men’s STI/HIV Testing Clinic in Ottawa: Clinical Operations and Outcomes. Canadian Journal of Public Health, 105, 389-394.
  • O’Byrne P, Phillips JC, Kitson C*, Bryan A. 2014. HIV-Status Discussions Among MSM in Ottawa, Canada: An HIV Prevention Analysis. British Medical Journal: Open 4(9), e005065.
  • O’Byrne P, Bryan A*, Hendriks A*, Horvath C*, Bouchard C, Etches V. 2014. Social marginalization and internal exclusion: gay men’s understandings and experiences of community. Canadian Journal of Nursing Research 46(2), 57-79.
  • O’Byrne P, Watts J*. 2014. Include, Differentiate, and Manage: Young Gay Men, STI/HIV Clinics, and Health Care Utilization. Nursing Inquiry 21(1), 20-29.
  • Gagnon M, Phillips JC, O’Byrne P. 2014. Building consensus: the role of clinicians and researchers in challenging HIV criminalization. Journal of the Association of Nurses in AIDS Care, 25(6), 473-5.
  • O’Byrne P, Bryan A*, Roy M*. 2013. HIV Criminal Prosecutions and Public Health: An Examination of the Empirical Research. British Medical Journal: Medical Humanities 39(2), 85-90.
  • O’Byrne P, Bryan A*, Roy M*. 2013. Sexual Practices and STI/HIV Testing Among Gay, Bisexual, and Men who have Sex with Men in Ottawa, Canada: Examining Nondisclosure Prosecutions and HIV Prevention. Critical Public Health, 23(2), 225-36.
  • O’Byrne P. 2013. Examining the intersection of desire, drugs, and place among gay men. Journal of Research in Nursing, 18(3):265-76.
  • O’Byrne P, Bryan A*. 2013. Anonymous HIV Testing and Public Health in Ontario, Canada: Understanding HIV Surveillance. Surveillance and Society, 11(1/2), 35-54.
  • O’Byrne P, Willmore J, Bryan A*, Friedman D, Hendriks A*, Massenat D, Bouchard C, Remis R, Etches V. 2013. Do HIV Status Nondisclosure Prosecutions Affect Population Health Goals? Examining HIV Testing and Diagnosis and the Attitudes/Behaviours of Men who have Sex with Men in the Context of Media Coverage about Nondisclosure Prosecutions. BMC Public Health, 13:94.
  • O’Byrne P, Bryan A*, & Woodyatt C*. 2013. Nondisclosure Prosecutions and HIV Prevention: Preliminary Results from an Ottawa-Based Gay Men’s Sex Survey. Journal of the Association of Nurses in AIDS Care, 24(1), 81-7.
  • O’Byrne P. 2012. Nomadic Sexualities: An In-Depth Case Study about “Unsafe Sex”. Nursing Inquiry, 19(4), 357-67.
  • Bryan A*, O’Byrne P. 2012. A Policy Proposal for Clinicians Caring for People Living with HIV/AIDS. Policy, Politics & Nursing Practice, 13(2), 98-104.
  • O’Byrne P. 2012. Health Inequities, HIV, and Public Health Practice: Examining the Role of Qualitative Research. Research and Theory for Nursing Practice: An International Journal, 26(3), 167-181.
  • O’Byrne P, Holmes D. 2012. Indulgence, Restraint, and the Engagement of Pleasure: Inciting Reflection using Nietzsche’s Ascetic Ideal. Research and Theory for Nursing Practice: An International Journal, 26(1), 10-24.
  • O’Byrne P. 2012. HIV Prevention in the Context of Care: HIV Testing and Public Health Practice. Public Health Nursing, 29(2), 175-84.
  • O’Byrne P. 2012. Population Health and Social Governance: Analysing the Mainstream Incorporation of Ethnography. Qualitative Health Research, 22(6), 859-67.
  • O’Byrne P. 2012 Criminal Law and Public Health Practice: Are the Canadian HIV Disclosure Laws an Effective HIV Prevention Strategy? Sexuality Research & Social Policy, 9(1), 70-9.
  • O’Byrne P, Holmes D. 2011. Drug Use as Boundary Play: A Qualitative Exploration of Gay Circuit Parties. Substance Use & Misuse, 46(12), 1510-22.
  • O’Byrne P. 2011. The Potential Effects of a Police Announcement about an HIV Non-Disclosure: A Case Analysis. Policy, Politics & Nursing Practice, 12(1), 53-63.
  • O’Byrne P. 2011. HIV, Nursing Practice, and the Law: What does HIV Criminalization Mean for Practicing Nurses? Journal of the Association of Nurses in AIDS Care, 22(5), 339-44.
  • O’Byrne P. 2011. An Argument for Practice-Based Public Health Research on Sexually Transmitted Infection Management. Public Health Nursing, 28(4), 357-65.
  • O’Byrne P, Watts J*. 2011. Exploring sexual networks: A preliminary look at swingers’ sexual behavior and health care-seeking practices. Canadian Journal of Nursing Research, 43(1), 80-97.
  • O’Byrne P. 2011. Self-Directed STI Testing: Providing Non-Invasive Sexual Health Services. Applied Nursing Research, 24(1), 17-21.
  • O’Byrne P, Holmes D. 2011. Desire, Drug Use and Unsafe Sex: A Qualitative Examination of Gay Men Who Attend Gay Circuit Parties. Culture, Health & Sexuality, 13(1), 1-13.
  • O’Byrne P, Watts J*. 2010. Theory and Practice: Examining PHAC’s STI Assessment Guidelines Using Sexual Script Theory. Aporia – The Nursing Journal, 2(4), 6-18.
  • Holmes D, O’Byrne P, Murray S. 2010. Faceless Sex: Glory Holes and Sexual Assemblages. Nursing Philosophy, 11, 250-9.
  • Holmes D, O’Byrne P. 2010. Subjugated to the ‘Appa­­ratus of Capture’: Self, Sex, and Public Health Technologies. Social Theory & Health, 8(3):246-58.
  • O’Byrne P, Holmes D. 2009. Public Health STI/HIV Surveillance: Exploring the society of control. Surveillance Society, 7(1), 58-70.
  • Gastaldo D, Holmes D, Lombardo A, O’Byrne P. 2009. Unprotected Sex among Men Who Have Sex with Men in Canada: Exploring Rationales and Expanding HIV Prevention. Critical Public Health, 19(3-4), 399-416.
  • O’Byrne P, Holmes D. 2009. The Politics of Nursing Care: Correcting Deviance in Accordance with the Social Contract. Policy, Politics, and Nursing Practice, 10(2), 153-62.
  • O’Byrne P, Carnegie J. 2008. E-Learning: The Development of Interactive Anatomy Images Using Flash™. Advances in Health Sciences Education, 30(8), e260-71.
  • O’Byrne P, Holmes D. 2008. Researching Marginalized Populations: Ethical Concerns for Ethnography. Canadian Journal of Nursing Research, 40(3), 144-59.
  • O’Byrne P, Holmes D, Woodend K. 2008. Understanding Human Sexual Networks: A Critique of the Promiscuity Paradigm. Critical Public Health, 18(3), 333-45.
  • Holmes D, Gastaldo D, O’Byrne P, Lombardo A. 2008. Bareback Sex: A Conflation of Risk and Masculinity. International Journal of Men’s Health, 7(2), 171-91.
  • O’Byrne P, Dias R. 2008. Urine Drop-Off Testing: A Self-Directed STI Screening Tool. Canadian Journal of Human Sexuality, 17(1-2), 53-9.
  • O’Byrne P, MacPherson P. 2008. Understanding HIV viral load: Implications for counselling. Canadian Journal of Public Health, 99(3), 189-91.
  • O’Byrne P, Holmes D. 2008. A System’s Change Case Study: Evaluating the Implementation and Sustainability of Crack Pipe Distribution in Canada. Addictions Research & Theory, 16(2), 181-92.
  • O’Byrne P. 2008. The Dissection of Risk: A Conceptual Analysis. Nursing Inquiry, 15(1), 30-9.
  • O’Byrne P. 2007. The Advantages and Disadvantages of Mixing Methods: An Analysis of Combining Traditional and Auto-Ethnographic Approaches. Qualitative Health Research, 17(10), 1381-91.
  • Holmes D, O’Byrne P, Coyte P. 2007. MS3 Squad: Considering Cyborgs for Future Prevention Programs. Body, Space & Technology, 8, e1-9.
  • O’Byrne P, Holmes D. 2007. The Micro-Fascism of Plato’s Good Citizen: Producing (Dis)order through the Construction of Risk. Nursing Philosophy, 8, 93-102.
  • Holmes D, O’Byrne P, Gastaldo D. 2007. Setting the Space for Sex: Architecture, Desire and Health Issues in Gay Bathhouses. International Journal of Nursing Studies, 44, 273-84.
  • Holmes D, O’Byrne P, Gastaldo D. 2006. Raw Pleasure as Limit Experience: A Foucauldian Analysis of Unsafe Anal Sex between Men. Social Theory & Health, 4, 319-33.
  • Holmes D, Perron A, O’Byrne P. 2006. Understanding Disgust in Nursing: Abjection, Self & Other. Research & Theory for Nursing Practice: An International Journal, 20(4), 305-15.
  • Holmes D, O’Byrne P. 2006. The Art of Public Health Nursing: Using Confession Technè in the Sexual Health Domain. Journal of Advanced Nursing, 56(4), 1-8.
  • Holmes D, Perron A, O’Byrne P. 2006. Evidence, Virulence, and the Disappearance of Nursing Knowledge: A Critique of the Evidence-Based Dogma. Worldviews on Evidence-Based Nursing, 3(3), 95-102.
  • Holmes D, O’Byrne P. 2006. Bareback Sex and the Law: The Difficult Issue of HIV Status Disclosure. Journal of Psychosocial Nursing & Mental Health Services, 44(7), 26-33.
  • O’Byrne P, Holmes D. 2005. Re-evaluating Current Health Policy: Alternative Approaches to Sexually Transmitted Infection Testing for Teens and Males who Have Sex with Males. Public Health Nursing, 22 (6), 523-8.

Chapters in Books

  • Holmes D, O’Byrne P, Murray S, Mercier M*. 2017. Transgressive assemblages: An ethnography of gay group sex. Radical Sex Between Men: Assembling Desiring-Machines. London: Routledge.
  • Holmes D, O’Byrne P, Murray S. 2017. Faceless sex: glory holes and sexual assemblages. Radical Sex Between Men: Assembling Desiring-Machines. London: Routledge.
  • Holmes D, O’Byrne P. 2012. Resisting the Violence of Stratification:
    Imperialism, War Machines and the Evidence-based Movement. In A. Broom, J. Adams (Eds.), Evidence Based Healthcare in Context: Critical Social Science Perspectives. (p. 43-60). Aldershot: Ashgate. 
  • O’Byrne P, Woodyatt C*. 2012. Sexual Health Nursing Assessments: Examining the Symbolic Violence of Intimate Exposures. In D Holmes, T Rudge, A Perron (Eds.), Rethinking Violence in Health Care: A Critical Approach. (p. 189-200). Aldershot: Ashgate.
  • Holmes D, O’Byrne P, Gastaldo D. 2010. Unspeakable Pleasures: Conducting Research in the RadSex Domain. In I Bourgeault, R Dingwall, R de Vries, (Eds.), Sage Handbook on Qualitative Health Research. (p. 673-95). Thousand Oaks: Sage.
  • O’Byrne P. 2010. Eroticizing the abject: Understanding the role of skeeting in sexual practices. In D Holmes, T Rudge (Eds.), Abjectly Boundless. (p. 81-101). Surrey: Ashgate.
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