Care for dying children and their families in the PICU: promoting clinician education, support, and resilience

K Dryden-Palmer, D Garros, EC Meyer… - Pediatric Critical Care …, 2018 - journals.lww.com
Objectives: To describe the consequences of workplace stressors on healthcare clinicians
in PICU, and strategies for personal well-being, and professional effectiveness in providing …

Difficult decisions in pediatric practice and moral distress in the intensive care unit

RP Santos, D Garros, F Carnevale - Revista Brasileira de terapia …, 2018 - SciELO Brasil
The current model of care for seriously ill patients has particular complexities for health
teams.(1) In pediatric practice, pediatric intensive care units (ICU) are environments with high …

[HTML][HTML] International standards for pediatric palliative care: from IMPaCCT to GO-PPaCS

…, J Downing, R Drake, S Friedrichsdorf, D Garros… - Journal of pain and …, 2022 - Elsevier
Context Since the publication of the IMPaCCT project in 2007, much effort has been made
to develop new approaches to pediatric palliative care (PPC). Fifteen years later, it is time to …

Circumstances surrounding end of life in a pediatric intensive care unit

D Garros, RJ Rosychuk, PN Cox - Pediatrics, 2003 - publications.aap.org
Objective. Approximately 60% of deaths in pediatric intensive care units follow limitation or
withdrawal of life-sustaining treatment (LST). We aimed to describe the circumstances …

A practical approach to hospital visitation during a pandemic: responding with compassion to unjustified restrictions

…, N Nortjé, L Webster, D Garros - American Journal of Critical …, 2021 - AACN
During the COVID-19 pandemic, evidence-based resources have been sought to support
decision-making and strategically inform hospitals’ policies, procedures, and practices. While …

[HTML][HTML] Family presence in Canadian PICUs during the COVID-19 pandemic: a mixed-methods environmental scan of policy and practice

…, SA Burgess, C Slumkoski, M Walls, D Garros - … Open Access Journal, 2022 - cmajopen.ca
Background: Despite their broad commitment to family-centred care, children’s hospitals
and associated pediatric intensive care units (PICUs) restricted family presence during the …

How can i survive this?: coping during coronavirus disease 2019 pandemic

D Garros, W Austin, P Dodek - Chest, 2021 - Elsevier
Worldwide, health-care professionals are experiencing unprecedented stress related to the
coronavirus disease 2019 pandemic. Responding to a new virus for which there is no …

The clinical impact of heated humidified high-flow nasal cannula on pediatric respiratory distress

…, Y Yasui, A deCaen, D Garros - Pediatric Critical Care …, 2017 - journals.lww.com
Objectives: To assess the impact on a single PICU of introducing high-flow nasal cannula as
a management tool for respiratory distress. Design: Retrospective cohort study, including an …

Moral distress in pediatric intensive care

D Garros, W Austin, FA Carnevale - JAMA pediatrics, 2015 - jamanetwork.com
Moral distress is the term increasingly used by health care professionals to name the angst
they experience when they feel unable to practice as they should. Jameton1 introduced this …

Organizational influences on health professionals' experiences of moral distress in PICUs

S Wall, WJ Austin, D Garros - HEC forum, 2016 - Springer
This article reports the findings of a qualitative study (secondary analysis) that explored the
organizational influences on moral distress for health professionals working in pediatric …