A5005676215- Ethics in medical practice
- Global Health Workforce Issues
- Organ Donation and Transplantation
- Palliative Care and End-of-Life Issues
- Ethics in Clinical Research
- Ethics and Legal Issues in Pediatric Healthcare
- Global Health and Surgery
- Childhood Cancer Survivors' Quality of Life
- Medical Malpractice and Liability Issues
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Optimism, Hope, and Well-being
- Grief, Bereavement, and Mental Health
- Diversity and Career in Medicine
- Public Health Policies and Education
- Healthcare Policy and Management
- Infant Development and Preterm Care
- Family and Patient Care in Intensive Care Units
- Biomedical Ethics and Regulation
- Patient Safety and Medication Errors
- Innovations in Medical Education
- Economic and Financial Impacts of Cancer
- Primary Care and Health Outcomes
- Pharmaceutical Economics and Policy
- Mental Health and Patient Involvement
Dalhousie University
2013-2023
Canadian Blood Services
2021-2023
Australian e-Health Research Centre
2023
Izaak Walton Killam Health Centre
2008-2022
Royal Roads University
2022
Queensland University of Technology
2017
Christ University
2012
Canadian Bioethics Society
2011
Queen Elizabeth II Health Sciences Centre
1997
<h3>Abstract</h3> <b>Objective</b> To understand hope in the context of advance care planning from perspective patients with end stage renal disease. <b>Design</b> Qualitative in-depth interview study. <b>Setting</b> Outpatient department a university affiliated nephrology programme. <b>Participants</b> 19 disease purposively selected insufficiency, haemodialysis, and peritoneal dialysis clinics. <b>Results</b> Patients9 hopes were highly individualised shaped by personal values. They...
This 2023 Clinical Practice Guideline provides the biomedical definition of death based on permanent cessation brain function that applies to all persons, as well recommendations for determination by circulatory criteria potential organ donors and neurologic mechanically ventilated patients regardless donation potential. is endorsed Canadian Critical Care Society, Medical Association, Association Nurses, Anesthesiologists' Neurological Sciences Federation (representing Neurosurgical Society...
There is international variability in the determination of death. Death donation after circulatory death (DCD) can be defined by permanent cessation brain circulation. Post-mortem interventions that restore perfusion should prohibited as they invalidate diagnosis Retrieval teams develop protocols ensure continued absence during DCD organ recovery. In situ normothermic regional (NRP) or restarting heart donor's body may interrupt because, theoretically, collateral circulations it. We propose...
When hope is discussed in bioethics' literature, it most often the context of 'false hopes' and/or how to maintain while breaking bad news patients. Little or no time generally devoted description that supports these analyses. In this paper, I present a detailed hope, one designed primarily for healthcare context. Noting an emotional attitude, four key aspects are explored. particular, function imagination depth. Through examination relationship between and vulnerability, demonstrate...
Controlled donation after circulatory determination of death (DCD), where is determined cardiac arrest, has been responsible for the largest quantitative increase in Canadian organ and transplants, but not heart transplants. Innovative international advances DCD transplantation include direct procurement perfusion (DPP) normothermic regional (NRP). After determined, DPP involves removal reanimation arrested on an ex situ system. Normothermic surgically interrupting (ligating aortic arch...
Clarity regarding the biomedical definition of death and criteria for its determination is critical to inform practices in clinical care, medical research, law, organ donation. While best by neurologic circulatory were previously outlined Canadian guidelines, several issues have arisen force their reappraisal. Ongoing scientific discovery, corresponding changes practice, legal ethical challenges compel a comprehensive update. Accordingly, A Brain-Based Definition Death Criteria Determination...
Background. To maintain public trust and integrity in organ tissue donation transplantation (OTDT), policymakers, governments, clinical leaders, decision-makers must ensure that policies proposed to increase transplant activity satisfy baseline ethical principles established by international agreement, declaration, resolution. This article describes the output of Baseline Ethical Domain group an forum designed guide stakeholders considering these aspects their system. Methods. Forum was...
Donation physicians are specialists with expertise in organ and tissue donation have been recognized internationally as a key contributor to improving services. Subsequent 2011 Canadian Critical Care Society-Canadian Blood Services consultation, the physician role has gradually implemented Canada. These professionals generally intensive care unit an enhanced focus organ/tissue donation. They must manage dual obligation of caring for dying patients their families while providing and/or In...
The purpose of this research was to explore parental perspectives on the impact parent restrictions imposed in response COVID-19 pandemic across Canadian Neonatal Intensive Care Units (NICUs). A co-designed online survey conducted targeting parents ( n = 235) infants admitted a NICU from March 1, 2020, until 5, 2021. Parents completed 38 NICUs. Large variation severity policies regarding presence reported. Most respondents (68.9%) were classified as experiencing high restrictions, with one...
Abstract The parents of critically ill newborns who have been admitted to a neonatal intensive care unit (NICU) generally face several challenges. Included in these challenges is the possibility having access information and certain level disclosure about diagnosis, treatment options, prognosis for their newborn. A related challenge ability some control over In this article, I (first author) share my own experiences child an NICU, discuss how lack affected decision making involvement had...
This is the first time deemed consent, where entire population of a jurisdiction considered to have consented for donation unless they registered otherwise, will be implemented in North America. While relatively common other regions world-notably Western Europe-it uncertain how this practice influence deceased practices and attitudes Canada.We describe Health Canada funded program research that evaluate implementation process full impact organ legislation health system transformation Nova...
The literature on recruiting and/or retaining health professionals in rural areas focuses primarily the development of recruitment and retention strategies assessing whether such are effective. objective this article is to argue that it important for all stakeholders involved processes consider their decisions actions from an ethics perspective. Recruitment not value neutral understand ethical dimensions.From literature, elements have been employed were identified organised respect levels...
Rural practitioners who develop a sense of belonging in their community tend to stay; however, means neighbours become patients and non-clinical encounters with unavoidable. clinical experiences expose students overlapping personal professional relationships, but cannot be duly prepared navigate them because ethical practice standards primarily reflect urban, not rural, contexts. To inform such educational activities, this study examines rural physiotherapists' strategies for navigating...
Abstract Background Conditions supporting a high quality of consent for pediatric bone marrow transplantation (BMT) are suboptimal given the complexity procedure, lack options, and parent emotional duress. We studied if parents perceived choice when consenting to BMT, they felt provided was valid, how process affected them. Methods Telephone or face‐to‐face interviews were recorded using semi‐structured interview outline. Interview transcripts anonymized, independently analyzed by three...