A5010081412- Pediatric Pain Management Techniques
- Infant Development and Preterm Care
- Health Policy Implementation Science
- Infant Health and Development
- Prenatal Screening and Diagnostics
- Childhood Cancer Survivors' Quality of Life
- Mental Health and Patient Involvement
- Delphi Technique in Research
- Neonatal Respiratory Health Research
- Patient Safety and Medication Errors
- Maternal and Perinatal Health Interventions
- Primary Care and Health Outcomes
- Fetal and Pediatric Neurological Disorders
- Family and Patient Care in Intensive Care Units
- Health disparities and outcomes
- Healthcare Policy and Management
- Medical Malpractice and Liability Issues
- Child and Adolescent Health
- Interprofessional Education and Collaboration
- Adolescent and Pediatric Healthcare
- Adolescent Sexual and Reproductive Health
- Parvovirus B19 Infection Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Assisted Reproductive Technology and Twin Pregnancy
- Breastfeeding Practices and Influences
Ottawa Hospital
2017-2025
University of Ottawa
2017-2025
Ontario Stroke Network
2017-2025
Ottawa Hospital Research Institute
2019-2025
Children's Hospital of Eastern Ontario
2015-2024
Anna Needs Neuroblastoma Answers
2024
Newborn Screening Ontario
2019-2023
National University of Singapore
2023
Health and Human Development (2HD) Research Network
2023
Sinai Hospital
2021
Ontario's birth Registry (BORN) was established in 2009 to collect, interpret, and share critical data about pregnancy, the early childhood period facilitate improve provision of healthcare. Since use routinely-collected health has been prioritized internationally by governments funding agencies patient care, support system planning, epidemiological surveillance research, high quality is essential. The purpose this study verify accuracy a selection elements that are entered Registry.Data...
Abstract Background This study aimed to examine the relationships between various maternal socioeconomic status (SES) indicators and risk of congenital heart disease (CHD). Methods was a population-based retrospective cohort study, including all singleton stillbirths live births in Ontario hospitals from April 1, 2012 March 31, 2018. Multivariable logistic regression models were performed neighbourhood household income, poverty, education level, employment unemployment status, immigration...
Abstract: Neonates have blood work for newborn screening in their first days of life, and preterm sick hospitalized infants often require repeated invasive needle-related procedures over the duration hospitalization. Reducing infants' pain during such painful is important may reduce risk negative sequela poorly treated procedural pain. High-quality synthesized evidence demonstrates analgesic effects three management strategies: breastfeeding; skin-to-skin care, also referred to as kangaroo...
Background Infant vaccinations are necessary for public health, but painful, causing distress to the infant and caregivers. Breastfeeding sucrose effectively reduce infants' pain during vaccinations, these strategies recommended in health care provider (HCP)-targeted education vaccination guidelines. However studies show infrequently used. YouTube is a popular medium publicly share watch videos, many consumer posted videos distressed infants being vaccinated with no treatment. The aims of...
Abstract Background Co-production is an umbrella term used to describe the process of generating knowledge through partnerships between researchers and those who will use or benefit from research. Multiple advantages research co-production have been hypothesized, in some cases documented, both academic practice record. However, there are significant gaps understanding how evaluate quality co-production. This gap rigorous evaluation undermines potential co-producers. Methods tests relevance...
Abstract Background Maternal-newborn care does not always align with the best available evidence. Applying implementation science to change initiatives can help move evidence-informed practices into clinical settings. However, it remains unknown what extent current in maternal-newborn recommendations from science, and how confident nurses, other health professionals, leaders are completing steps process. We aimed understand Ontario teams’ (1) approaches implementing practice changes which...
Breastfeeding (BF), skin-to-skin care (SSC), and sucrose effectively reduce babies' pain during newborn blood work, but these strategies are infrequently used. Our team developed a parent-targeted video intervention showing the effectiveness of 3 management strategies.To evaluate neonatal intensive unit (NICU) parents' (1) baseline knowledge previous use BF, SSC, for procedural management; (2) intention to advocate/use or their infants' future work after viewing video; (3) recommend other...
Objectives To assess the effect of Maternal Newborn Dashboard on six key clinical performance indicators in province Ontario, Canada. Design Interrupted time series using population-based data from provincial birth registry covering a 3-year period before implementation and 2.5 years after (November 2009 through March 2015). Setting All hospitals Ontario providing maternal-newborn care (n=94). Intervention A hospital-based online audit feedback programme. Main outcome measures Rates included...
There are wide variations in maternal-newborn care practices and outcomes across Ontario. To help institutions providers learn about their own performance, the Better Outcomes Registry & Network (BORN) Ontario has implemented an audit feedback system, Maternal-Newborn Dashboard (MND), for all hospitals providing care. The dashboard provides (1) near real-time feedback, with site-specific peer comparison data six key performance indicators; (2) a visual display of evidence-practice gaps...
To assess the reach, acceptability, and effect of BSweet2Babies video showing breast-feeding, skin-to-skin care, sucrose during blood sampling on intention to recommend or advocate for use interventions. In July 2014, an electronic survey were produced posted. After 1 year, online viewer responses YouTube analytics analyzed. One year after posting, had 10 879 views from 125 countries 187 (1.7%) viewers completed survey. Most respondents aware analgesic effects sucrose. Nearly all (n = 158,...
ABSTRACT Introduction and aims: Interaction collaboration between researchers, patients/public, clinicians, managers policy-makers are necessary to enhance the relevance use of research, improve planning, optimize healthcare delivery outcomes. The Integrated Knowledge Translation Research Network (IKTRN) published four casebooks from 2019 2021, describing varied approaches research co-production. Our aim was examine case studies extend existing theoretical empirical perspectives about how...
Objective To investigate the interrelationships between maternal socioeconomic status (SES), race and congenital heart diseases (CHD) among infants. Design Retrospective cohort study. Study setting Ontario, Canada. population All singleton stillbirths live births born in hospitals 1 April 2012 31 March 2018 Canada (n=804 292). Outcome CHD. Analysis Multivariable logistic regression models were performed to assess associations neighbourhood household income, education level, CHD while...
Most newborns undergo newborn screening blood tests. Breastfeeding, skin-to-skin care, and sweet solutions effectively reduce pain; however, these strategies are inconsistently used. We conducted a 2-armed pilot randomized controlled trial in mother-baby unit to examine the feasibility acceptability of parent-targeted -mediated video demonstrating use pain-reducing obtain preliminary effectiveness data on uptake pain management. One hundred parent-newborn dyads were view or receive usual...
To explore health care providers' (HCPs) perceptions of using shared decision making (SDM) and to identify facilitators barriers its use with families facing the anticipated birth an extremely preterm infant at 22+0 25+6 weeks gestational age.Qualitative descriptive study design: we conducted interviews 25 HCPs involved in five cases a tertiary centre completed qualitative content analysis their responses.Nine 16 were identified. Facilitators included: correct understanding this process how...
Background As part of a larger study examining the effectiveness Maternal Newborn Dashboard, an electronic audit and feedback system to improve maternal-newborn care practices outcomes, purpose this was increase our understanding factors explaining variability in performance after implementation Dashboard Ontario, Canada. Methods A collective case study. maximum variation sampling approach used invite hospitals reflecting different criteria participate 1-day 2-day site visit by research...
<h3>BACKGROUND:</h3> The emergence of cell-free fetal DNA (cfDNA) testing technology has disrupted the landscape prenatal screening for trisomies 21 (T21) and 18 (T18). Publicly funded systems around world are grappling with how to best integrate this more accurate but costly technology, as there is limited evidence about its incremental value in real-world conditions. objectives study were describe population-based performance Ontario's program, which incorporates publicly cfDNA specific...
In 2009 the Ontario Ministry of Health and Long Term Care funded implementation province-wide fetal fibronectin testing in hospitals. This paper reports results from provincial evaluation that sought to describe experience perspective women with symptoms preterm labour. A descriptive qualitative design was used, employing semi-structured telephone face-to-face interviews who had testing. Five hospitals participated recruiting for study 17 were interviewed. Women described their experiences...