Identifying the Types of Support Needed by Interprofessional Teams Providing Pediatric End-of-Life Care: A Thematic Analysis
| Autor: | Stephanie Kukora, Janice Firn, Patricia Keefer, Clare O Riotte |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Coping (psychology) Interprofessional Relations Multidisciplinary team Midwestern United States 03 medical and health sciences 0302 clinical medicine Nursing Surveys and Questionnaires 030225 pediatrics Humans Medicine Interprofessional teamwork 030212 general & internal medicine Child Qualitative Research General Nursing Patient Care Team Terminal Care business.industry Pediatric Death General Medicine Work environment Pediatric patient Anesthesiology and Pain Medicine Family medicine Thematic analysis business End-of-life care Needs Assessment |
| Zdroj: | Journal of Palliative Medicine. 21:422-427 |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2017.0331 |
| Popis: | Despite the number of interprofessional team members caring for children at the end of life, little evidence exists on how institutions can support their staff in providing care in these situations.We sought to evaluate which aspects of the hospital work environment were most helpful for multidisciplinary team members who care for patients at the end of life and identify areas for improvement to better address staff needs.Qualitative thematic analysis was completed of free-text comments from a survey distributed to interprofessional staff members involved in the care of a recently deceased pediatric patient. A total of 2701 surveys were sent; 890 completed. Free-text responses were provided by 306 interprofessional team members.Interprofessional team members involved in the care of a child who died at a 348 bed academic children's hospital in the Midwestern United States.Realist thematic analysis of free-text responses was completed in Dedoose using a deductive and inductive approach with line-by-line coding. Descriptive statistics of demographic information was completed using Excel.Thematic analysis of the 306 free-text responses identified three main support-related themes. Interprofessional team members desire to have (1) support through educational efforts such as workshops, (2) support from colleagues, and (3) support through institutional practices.Providers who participate in end-of-life work benefit from ongoing support through education, interpersonal relationships, and institutional practices. Addressing these areas from an interprofessional perspective enables staff to provide the optimal care for patients, patients' families, and themselves. |
| Databáze: | OpenAIRE |
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