Care Of Dying Children Research Articles

“On the Other Side of the Fence”: Impact of Personal Experiences on Career Path, Clinical Practice, and Professional Endurance Among Hospice Nurses Caring for Dying Children (S559)

“On the Other Side of the Fence”: Impact of Personal Experiences on Career Path, Clinical Practice, and Professional Endurance Among Hospice Nurses Caring for Dying Children (S559)

“A Child's Death Is Different”: Responding to the Needs, Preferences, and Challenges Shared by Hospice Nurses Caring for Dying Children in the Community (FR214)

“A Child's Death Is Different”: Responding to the Needs, Preferences, and Challenges Shared by Hospice Nurses Caring for Dying Children in the Community (FR214)

Self-Efficacy of Pediatric Residents Caring for Patients at End-of-Life

BACKGROUND: There are special considerations and challenges to approaching the death of a pediatric patient. These circumstances are not often addressed in medical school curricula, which tends to be aimed at the care of adults. Pediatric residents are frequently called on to take care of dying children in the emergency, oncology and ICU settings. However, pediatric residents often do not feel prepared to deliver serious news or provide adequate anticipatory guidance …

Care for Dying Children and Their Families in the PICU: Promoting Clinician Education, Support, and Resilience.

To describe the consequences of workplace stressors on healthcare clinicians in PICU, and strategies for personal well-being, and professional effectiveness in providing high-quality end-of-life care. Literature review, clinical experience, and expert opinion. A sampling of foundational and current evidence was accessed. Narrative review and experiential reflection. The well-being of healthcare clinicians in the PICU influences the day-to-day quality and effectiveness of patient care, team functioning, and the retention of skilled individuals in the PICU workforce. End-of-life care, including decision making, can be complicated. Both are major stressors for PICU staff that can lead to adverse personal and professional consequences. Overresponsiveness to routine stressors may be seen in those with moral distress, and underresponsiveness may be seen in those with compassion fatigue or burnout. Ideally, all healthcare professionals in PICU can rise to the day-to-day workplace challenges-responding in an adaptive, effective manner. Strategies to proactively increase resilience and well-being include self-awareness, self-care, situational awareness, and education to increase confidence and skills for providing end-of-life care. Reactive strategies include case conferences, prebriefings in ongoing preidentified situations, debriefings, and other postevent meetings. Nurturing a culture of practice that acknowledges the emotional impacts of pediatric critical care work and celebrates the shared experiences of families and clinicians to build resilient, effective, and professionally fulfilled healthcare professionals thus enabling the provision of high-quality end-of-life care for children and their families.

Providing care for dying children

Providing care for dying children

Use of a seminar as an aid in helping interns care for dying children and their families.

An annual seminar held by the University of Colorado, Department of Pediatrics, is designed to assist interns to cope more effectively with the emotional strains of caring for dying patients and their families. In the seminar, interns are randomly divided into four small groups consisting of six interns, a chief resident, two pediatric faculty members, and a nurse or social worker from an intensive care unit. This paper reviews the resident evaluations of the seminar, as well as the results of a questionnaire which explored attitude formation toward death. Interns felt that the opportunity to discuss death and dying early in their training program helped them gain an understanding of their own feelings about death, which enabled them to cope better with the stress involved in caring for dying children. Additional benefits from the seminar included more effective interpersonal communication, the establishment of deeper and more meaningful friendships, and a stronger esprit de corps.