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About Sickkids
About SickKids

Nicole de Silva , RN, BScN, MSc

The Hospital for Sick Children
Neonatal Intensive Care Unit
Advanced Practice Nurses

Phone: 416-813-6866

Brief Biography

Nicole has been working as an Advanced Practice Nurse in the Neonatal Intensive Care Unit (NICU) for nearly 15 years caring for the complex needs of newborn infants. Over the past 5 years she has specialized in the neonatal surgical population acting as a consultant and a liaison between the medical and surgical teams. Her primary clinical and research interest lie are in the area bowel injury and intestinal failure and one of her goals is to improve the overall outcomes for this population. She
has played a critical role in the development and ongoing function of the interdisciplinary GIFT team (Group for the Improvement of Intestinal Function and Treatment) that strives to coordinate and improve the care of children and families with intestinal failure. Other areas of interest are the discharge process, inter-professional education strategies,
mentorship for novice advance practice nurses.

Nicole graduated with her BScN and her Master of Science from the University of Toronto and completed her Neonatal Nurse Practitioner education at McMaster University. Her early years at SickKids were at thebedside in the level II nursery and as the Assistant Nurse Manager in the NICU.

Clinical Care Activities

  • Neonatal General Surgery- Comprehensive care for the infant with general surgical diagnoses from admission to discharge from the NICU.
  • Neonatal Clinical Research Committee-monitoring feasibility of research proposals planned for the NICU
  • Neonatal Surgical Interest Group-development, education, and clinical advisor for the group 
  • GIFT Committee-guideline development, clinical care, data management

Research Interests

  • Qualitative Methodology
  • Short Bowel Syndrome/Intestinal Failure
  • Necrotizing Enterocolitis in Full Term Neonates
  • Management of Gastroschisis
  • Neonatal Surgical Interest Group-Leader


2000-Robert Salter Humanitarian Award
2001-Grace Evelyn Simpson Reeves Award for Excellence in Advanced Practice
Nursing (Team)
2002-The Hospital for Sick Children Seed Grant
2002-RNAO Nursing Research Fellowship
2003-Grace Evelyn Simpson Reeves Award for Excellence in Nursing Research
2005-National Association of Neonatal Nurses Writing Award of Excellence


Wales PW, deSilva NT, Kim JH, Lecce L, To T, Moore AM. Neonatal short bowel syndrome: Population-based estimates of incidence and mortality rates. Journal of Pediatric Surgery 2004, 39(5) 690-695.

Lodha A, deSilva NT, Petric M, Moore AM. Human Torovirus: A new virus associated with neonatal necrotizing enterocolitis. ACTA Paediatrica 2005: 94, 1085-1088.

Wales PW, deSilva NT, Kim JH, Lecce L, Sandhu A, Moore AM. Neonatal short bowel syndrome: A cohort study. Journal of Pediatric Surgery 2005: 40(5), 755-762

de Silva NT, Young JA, Wales PW. Understanding neonatal bowel obstruction: Building knowledge to advance practice. Neonatal Network 2006, 25 (5): pp 303-318.

Nasr A, Avitzur Y, Ng VL, de Silva NT, Wales PW: The use of hyperbilirubinemia (>100 mmol/L) as an indicator of irreversible liver disease in infants with short bowel syndrome. Journal of Pediatric Surgery, 2007. 42(2) 359-362.

Diamond IR, de Silva NT, Kim JH, Pencharz PR, Wales PW: Neonatal short bowel syndrome outcomes after establishment of the first Canadian multi-disciplinary intestinal rehabilitation program: Preliminary experience. Journal of Pediatric Surgery 2007, 42 (5) 806-811.

Yamada J, Stevens B, de Silva NT, Gibbins S, Beyene,J, Taddio A, Newman C, Koren G. Hair cortisol as a potential biologic marker of chronic stress in neonates. Neonatology (Biology of the Neonate) 2007, 92(1) 42-49.

El Sayed MF, Taddio A, Fallah S, de Silva NT, Moore AM. Safety profile of morphine following surgery in neonates. Journal of
Perinatology 2007, 27 (7) 444-447.

Wales P, Brindle M, Sauer CJE, Patel S, de Silva NT, Chait P. Percutaneous cholangiography for the treatment of parenteral
nutrition-associated cholestasis in surgical neonates:Prelimnary experience. Journal of Pediatric Surgery 2007, 42 (11) 1913-1918.

Wales P, deSilva N. Neonatal Surgery: General Surgery Conditions. Chapter 16 (256-272). In Kirpilani H, Moore AM, Perlman M (Eds).Residents Handbook of Neonatology. 2007. BC Decker.