- Pediatric Pain Management Techniques
- Infant Development and Preterm Care
- Infant Health and Development
- Family and Patient Care in Intensive Care Units
- Neonatal Respiratory Health Research
- Cardiac Arrest and Resuscitation
- Health Sciences Research and Education
- Mobile Health and mHealth Applications
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Opioid Use
- Health Policy Implementation Science
- Health Literacy and Information Accessibility
- Digital Mental Health Interventions
- Clinical Nutrition and Gastroenterology
- Mental Health Treatment and Access
- Healthcare Systems and Technology
- Family Support in Illness
- Acute Lymphoblastic Leukemia research
- Palliative Care and End-of-Life Issues
- Nursing Diagnosis and Documentation
- Poisoning and overdose treatments
- Anesthesia and Pain Management
- Adolescent and Pediatric Healthcare
- Health, psychology, and well-being
- Asthma and respiratory diseases
Toronto Metropolitan University
2016-2025
University of Toronto
2000-2019
Queen's University
2019
Université Laval
2019
Ottawa Hospital
2019
Centre Hospitalier Universitaire de Sherbrooke
2019
University of British Columbia
2019
Centre Hospitalier Universitaire Sainte-Justine
2019
Université de Sherbrooke
2019
University of Ottawa
2019
<h3>Background</h3> Children being cared for in hospital undergo multiple painful procedures daily. However, little is known about the frequency of these and associated interventions to manage pain. We undertook this study determine, children Canadian hospitals, procedures, types pain management with influence type unit on procedural management. <h3>Methods</h3> reviewed medical charts infants up 18 years age who had been admitted 32 inpatient units at eight pediatric hospitals between...
Objectives: To describe revisions to the Premature Infant Pain Profile (PIPP) and initial construct validation feasibility of Profile-Revised (PIPP-R). Methods: The PIPP was revised enhance validity feasibility. validate PIPP-R, data from 2 randomized cross-over studies were utilized to: (1) calculate compare PIPP-R scores in extremely low gestational age infants undergoing a painful nonpainful event (N=52; dataset #1) (2) assessing effectiveness (a) sucrose, (b) non-nutritive sucking...
<i>Background:</i> As preterm and term infants in the neonatal intensive care unit (NICU) undergo multiple stressful/painful procedures, research is required that addresses chronic stress. <i>Objectives:</i> To determine whether (a) hair cortisol levels differed between exposed to stress NICU (b) an association exists severity of illness or indicators acute <i>Methods:</i> Hair were determined using ELISA method (solid-phase enzyme-linked immunoassay,...
Orally administered sucrose is effective and safe in reducing pain intensity during single, tissue-damaging procedures neonates, commonly recommended neonatal guidelines. However, there wide variability doses examined research, more than a 20-fold variation across care settings. The aim of this study was to determine the minimally dose 24% for hospitalized neonates undergoing single skin-breaking heel lance procedure. A total 245 from 4 Canadian tertiary intensive units (NICUs), born between...
In the past decade, our knowledge of pain in newborn infants has advanced considerably. However, at significant risk for neurologic impairment (NI) have been systematically excluded from almost all research on neonates. The objectives this study were to compare: (a). nature, frequency and prevalence painful procedures, (b). analgesics sedatives administered, (c). relationship between procedures analgesia neonates NI. One hundred ninety-four high (cohort A, n=67), moderate B, n=59) low C,...
Objective: Preterm neonates undergo numerous painful procedures in the neonatal intensive care unit (NICU). Sucrose, with and without pacifiers, is effective safe for relieving pain from single events. However, repeated use of sucrose multiple has not been adequately evaluated. The study objectives were to: 1) determine efficacy safety consistent management procedural sucrose; 2) explore impact on clinical outcomes neurobiological risk status. Methods: Sixty-six preterm infants randomized to...
<i>Background:</i> There is a plethora of infant pain measures; however, none them have been validated for extremely low gestational age (ELGA) infants (<27 weeks’ gestation). To date, clinicians, researchers and parents use information gleaned from more mature to make inferences about in ELGA infants. Using physiological or behavioral indicators derived may lead inaccurate assessments management. <i>Objectives:</i> compare (heart rate, oxygen saturation) (9 facial...
Hospitalized children frequently receive inadequate pain assessment and management despite substantial evidence to support effective pediatric practices. The objective of this study was determine the effect a multidimensional knowledge translation intervention, Evidence-based Practice for Improving Quality (EPIQ), on procedural practices clinical outcomes hospitalized in medical, surgical critical care units. A prospective cohort compared 16 interventions using EPIQ standard (SC) units 8...