Integrating a palliative approach into the healthcare provided by the French-African Pediatric Oncology Group's pilot units. Insights from a 3-year training program.

Autor: Edan C; GFAOP, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France. Electronic address: edanchristine@gmail.com., Yao AJJ; Treichville University Hospital, Abidjan, Côte d'Ivoire., Hessissen L; Pediatric Oncology Department, Children's Hospital, Rabat, Morocco., Moreira C; Pediatric Oncology Unit, Aristide Le Dantec Hospital, Dakar, Senegal., Viallard ML; Department of Perinatal Pain and Palliative Medicine, Necker University Hospital for Sick Children, Paris, France., Poulain P; Les Ormeaux palliative care unit, Tarbes, France., Calmanti S; La Brise regional pediatric palliative care team, Brittany, France., Thinlot C; GFAOP, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France., Aubier F; GFAOP, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France., Douçot MS; GFAOP, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France., Gagnepain-Lacheteau A; Sanofi Espoir Foundation, Paris, France., Patte C; GFAOP, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France.
Jazyk: angličtina
Zdroj: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2021 Feb; Vol. 28 (2), pp. 166-172. Date of Electronic Publication: 2021 Jan 11.
DOI: 10.1016/j.arcped.2020.12.002
Abstrakt: Working alongside local stakeholders, members of the French-African Pediatric Oncology Group developed a 3-year program to train pediatric oncology teams from 15 French-speaking countries in Africa in using analgesics and providing palliative care. This program was rolled out in three phases: initial training, in situ assessment, and advanced training in selected topics. To access this program, multidisciplinary teams had to come up with a project to improve their existing palliative care and pain management practices, and commit themselves to implementing it. All the teams invited agreed to take part in the program, which explicitly broached a subject that is often avoided in oncology teaching. The first phase was rolled out in 2017, with 65 trainees from 19 units attending one of three sessions held in Dakar, Senegal, Abidjan, Côte d'Ivoire, and Rabat, Morocco. The subsequent assessment revealed that only half the teams had started to implement their projects. The advanced training phase was therefore adjusted accordingly. A collective training session held in Marseille was attended by 15 trainees from seven teams whose projects were already underway, while in situ mentoring was provided for six other teams, through French-African twinnings in four cases. The length and openness of the program meant that we were able to identify and share the units' diverse realities, and fine-tune their projects accordingly, as well as plan ways of continuing the training both locally and collectively.
(Copyright © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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