A5074934031- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Psychosocial and Emotional Development
- Viral gastroenteritis research and epidemiology
- Trauma and Emergency Care Studies
- Pneumonia and Respiratory Infections
- Injury Epidemiology and Prevention
- Suicide and Self-Harm Studies
- Cardiac Arrest and Resuscitation
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Pharmaceutical studies and practices
- Ultrasound in Clinical Applications
- Pediatric health and respiratory diseases
- Child and Adolescent Health
- Palliative Care and End-of-Life Issues
- Respiratory viral infections research
- Digital Mental Health Interventions
- Restraint-Related Deaths
- Pharmaceutical Practices and Patient Outcomes
- Antibiotic Use and Resistance
- Disaster Response and Management
- Infant Development and Preterm Care
- Sepsis Diagnosis and Treatment
- Intensive Care Unit Cognitive Disorders
Dalhousie University
1999-2024
Izaak Walton Killam Health Centre
2012-2024
University Hospitals of Leicester NHS Trust
2021-2024
London Health Sciences Centre
2023
Children’s Health Research Institute
2023
McMaster University
2023
Centre Hospitalier Universitaire Sainte-Justine
2023
Université de Montréal
2023
University of Ottawa
2023
Children's Hospital of Eastern Ontario
2023
Although continuous electrocardiographic (ECG) monitoring is ubiquitous in hospitals, practices are inconsistent. We evaluated implementation of American Heart Association practice standards for ECG on nurses' knowledge, quality care, and patient outcomes.The PULSE (Practical Use the Latest Standards Electrocardiography) Trial was a 6-year multisite randomized clinical trial with crossover that took place 65 cardiac units 17 hospitals. measured outcomes at baseline, time 2 after group 1...
The COVID-19 pandemic had profound effects on the mental wellbeing of adolescents. We sought to evaluate pandemic-related changes in health care use for suicidal ideation, self-poisoning and self-harm. obtained data from Canadian Institute Health Information emergency department visits hospital admissions April 2015 March 2022 among adolescents aged 10-18 years Canada. calculated quarterly percentage a composite outcome comprising self-harm relative all-cause admissions. used interrupted...
Recent initiatives encourage a family presence during cardiopulmonary resuscitation and invasive procedures more open visitation policies in intensive care units (ICUs). This study investigated perceptions of needs those visiting working six ICUs. The members patients with critical illness nurses ICUs were measured using the Critical Care Family Needs Inventory. Data collected prospectively convenience sample 101 patients, members, nurses. Hierarchical cluster analysis identified themes (a)...
The identification of clinical phenotypes may help parse the substantial heterogeneity that characterizes children with concussion. This study used latent class analysis (LCA) to identify discernible among acute concussion and examine association between persistent post-concussive symptoms (PPCS) at 4 12 weeks post-injury. We conducted LCA variables representing pre-injury history, presentation, parent symptom ratings, derived from a prospective cohort, observational recruited participants...
Internet-based cognitive behavioral therapy (ICBT) is a treatment approach recently developed and studied to provide frontline adolescents with anxiety disorders.This study aimed pilot procedures obtain data on methodological processes intervention satisfaction determine the feasibility of definitive randomized controlled trial (RCT) test effectiveness self-managed ICBT program, Breathe (Being Real, Easing Anxiety: Tools Helping Electronically), for concerns.This employed two-arm, multisite,...
Objective Nitrous oxide ( N 2 O ) is routinely used as an analgesic in obstetrics during labour. Epidemiological studies have linked chronic occupational exposure to specific health problems, including reproductive risks. Occupational limits OELs allow the use of once appropriate preventive and safety measures been taken. We assessed effectiveness a scavenger system A nevac P ‐system®, M edicvent H einen & L öwestein B enelux, arneveld, etherlands) applied administration labour...
Infants follow a predictable trajectory of increased early crying. Frustration with crying is reported to be trigger for abusive head trauma (AHT).To evaluate the impact postpartum delivery educational program, Period PURPLE Crying (PURPLE), in group first-time mothers. The primary objective was determine whether there change knowledge about infant and shaking after exposure PURPLE. Factors associated were also examined.A total 93 participants recruited over four-month period at tertiary...
Objective The aim of this study was to identify the 5 most essential discharge instruction content elements that should be communicated all caregivers children who present emergency department (ED) with asthma, vomiting/diarrhea, abdominal pain, fever, minor head injury, or bronchiolitis. Methods A information list developed for each illness presentation following a review literature. Using modified Delphi technique, 6 lists were distributed panel experts from EDs across Canada using secure...
Although palliative care focuses on supporting patients and families through serious illness, it is underutilized in the surgical intensive unit (SICU). In 2020, SICU represented only 2.75% of our team's consults. We hypothesize that utilization triggers will increase collaboration between teams improve patient/family experiences. After reviewing consultation records published literature, a consult trigger program was implemented for with length stay >10 days, unplanned readmission, or new...
This study assessed anxiety levels of parents young febrile children who presented to a pediatric emergency department (ED) with fever. One hundred and seventy completed 90-item questionnaire. Anxiety was measured by use the State Trait Inventory. Parents were asked what they had previously thought about how felt ED process. Mean parental 50.1 (95% CI 48.1, 52.2), significantly elevated from adult standards (p < 0.0001). A multivariate model comprising: (1) feeling "not at all" well rested,...
The objective of this study was to document that an observational decreases the use emergency department (ED) for asthma. Comparison rates between audit and prospective period were used at a regional referral pediatric hospital ED. A total 526 asthma visits from February 12, 1992, April 10, examined in initial compared 725 during May 16, 1993, September 29, 1993. physician check list medications follow-up plans utilized study. rate repeat admissions periods. In audit, 422 patients seen,...
Using the delphi technique, a group of clinical nurse specialists was surveyed regarding delineation nursing research priorities. Upon completion four-round survey, results suggested that top priorities for are: (1) factors which influence longevity in practice, (2) patient care delivery systems as related to satisfaction, and (3) indicators quality care.
Although the passage of blood in stools children represents a medical emergency, seeking emergency department (ED) care remain poorly characterized. Our primary objective was to compare clinical characteristics and etiologic pathogens with acute diarrhea without caregiver-reported hematochezia. Secondary objectives were characterize interventions resource utilization.We conducted secondary analysis Alberta Provincial Pediatric EnTeric Infection TEam (APPETITE) database. Children <18 years...