Hybridizing the hybrid: a "serendipitous bridge" to heart transplantation in a child with hypoplastic left heart syndrome.

Unlabelled: We report a unique experience with stage 1 palliation of hypoplastic left heart syndrome (HLHS) using the hybrid approach. The tortuous anatomy of the ductus arteriosus precluded stenting. Persistent ductal patency and ability to support the systemic circulation adequately after prolonged prostaglandin E1 (PGE1) infusion and its subsequent discontinuation presented us with a novel approach to hybrid palliation of hypoplastic left heart syndrome.

Health care providers' perspectives of providing culturally competent care in the NICU.

Objective: To examine the experiences and perceptions of health care providers caring for new immigrant families in the neonatal intensive care unit (NICU).

Design: Qualitative design using grounded theory methodology.

Setting: Two tertiary-level NICUs of two large metropolitan hospitals in western Canada.

Connection versus disconnection: examining culturally competent care in the neonatal intensive care unit.

Culturally competent health care is of critical importance; however, it is presented as a frequent challenge in health care settings. This study explored cross-cultural care from the health care provider perspective within two tertiary level Neonatal Intensive Care Units (NICUs). Fifty eight inter-professional health care providers (HCP) participated in focus groups.

Including parents in the evaluation of clinical microsystems in the neonatal intensive care unit.

Neonatal intensive care is an area of healthcare that has experienced significant growth in recent years. As a result, "megaunits" of more than 60 beds are not uncommon. Delivering care in units of this size that incorporates the principles of family-centered care and that is satisfying to both staff and parents is challenging.