دورية أكاديمية
Improving Neonatal Intensive Care Unit Providers' Perceptions of Palliative Care through a Weekly Case-Based Discussion.
| العنوان: | Improving Neonatal Intensive Care Unit Providers' Perceptions of Palliative Care through a Weekly Case-Based Discussion. |
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| المؤلفون: | Allen JD; Department of Pediatrics, Riley Hospital for Children at Indiana University, Indianapolis, Indiana, USA., Shukla R; Department of Pediatrics, Riley Hospital for Children at Indiana University, Indianapolis, Indiana, USA., Baker R; Indiana University School of Nursing, Indianapolis, Indiana, USA., Slaven JE; Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana, USA., Moody K; Department of Pediatrics, University of Texas MD Anderson Cancer Center, Houston, Texas, USA. |
| المصدر: | Palliative medicine reports [Palliat Med Rep] 2021 Apr 16; Vol. 2 (1), pp. 93-100. Date of Electronic Publication: 2021 Apr 16 (Print Publication: 2021). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101770666 Publication Model: eCollection Cited Medium: Internet ISSN: 2689-2820 (Electronic) Linking ISSN: 26892820 NLM ISO Abbreviation: Palliat Med Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc., [2020]- |
| مستخلص: | Objective: The primary objective was to evaluate the efficacy of a weekly palliative care-guided, case-based discussion of high-risk infants on Neonatal Intensive Care Unit (NICU) physician (MD) and Advanced Practice Provider (APP) perceptions of pediatric palliative care (PPC). Study Design: The study setting was a level IV academic NICU in a United States midwestern children's hospital. A pre/post design was used to evaluate the effects of a weekly palliative care-guided, case-based discussion of high-risk infants on neonatology providers' (MD and APP) perspectives of palliative and end-of-life care in the NICU using a previously published survey instrument. Surveys were completed at baseline and after 12 months of implementation. Data was analyzed with a Wilcoxon Signed Rank test with significance set at p < 0.05. Results: Thirty-one providers (13 APPs and 18 MDs) completed both pre- and post-intervention surveys. Post-intervention, providers were more likely to endorse that they "are comfortable with PPC", "feel comfortable teaching PPC to trainees", "feel confident handling end-of-life care", "have time to discuss PPC", and "were satisfied with the transition to end-of-life care for their most recent patient". They also were more likely to report, "families' perception of burden is relevant when making ethical decisions", that "parents are involved in decisions regarding palliative care", and that their "institution is supportive of palliative care." ( p -values < 0.05 for all). Conclusion: NICU provider perceptions of palliative care can be improved through the implementation of a case-based interdisciplinary conference that emphasizes palliative care domains in the context of Neonatal ICU care. Competing Interests: No competing financial interests exist. (© Jayme D. Allen et al., 2021; Published by Mary Ann Liebert, Inc.) |
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| فهرسة مساهمة: | Keywords: end-of-life care; interdisciplinary; neonatology; quality of life |
| تواريخ الأحداث: | Date Created: 20210705 Latest Revision: 20210706 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8241393 |
| DOI: | 10.1089/pmr.2020.0121 |
| PMID: | 34223508 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2689-2820 |
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| DOI: | 10.1089/pmr.2020.0121 |