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Text
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Citation List Month
January 2017 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Physician Communication In Pediatric End-of-life Care: A Simulation Study
Publisher
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American Journal Of Hospice And Palliative Medicine
Date
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2016
Subject
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2016; End-of-life Communication; Palliative Care; Pediatric End-of-life Care; Pediatrics; Physician–parent Communication; Qualitative Methods; Simulation; Therapeutic Processes
Creator
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Bateman LB; Tofil Nancy M; White Marjorie Lee; Dure Leon S; Clair Jeffrey Michael; Needham Belinda L
Description
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Objective: The objective of this exploratory study is to describe communication between physicians and the actor parent of a standardized 8-year-old patient in respiratory distress who was nearing the end of life. Methods: Thirteen pediatric emergency medicine and pediatric critical care fellows and attendings participated in a high-fidelity simulation to assess physician communication with an actor-parent. Results: Fifteen percent of the participants decided not to initiate life-sustaining technology (intubation), and 23% of participants offered alternatives to life-sustaining care, such as comfort measures. Although 92% of the participants initiated an end-of-life conversation, the quality of that discussion varied widely. Conclusion: Findings indicate that effective physician–parent communication may not consistently occur in cases involving the treatment of pediatric patients at the end of life in emergency and critical care units. Practice Implications: The findings in this study, particularly that physician–parent end-of-life communication is often unclear and that alternatives to life-sustaining technology are often not offered, suggest that physicians need more training in both communication and end-of-life care. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
Identifier
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10.1177/1049909115595022
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
American Journal of Hospice and Palliative Medicine
Bateman LB
Clair Jeffrey Michael
Dure Leon S
End-of-life Communication
January 2017 List
Needham Belinda L
Palliative Care
Pediatric End-of-life Care
Pediatrics
Physician–parent Communication
Qualitative Methods
Simulation
Therapeutic Processes
Tofil Nancy M
White Marjorie Lee
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
July 2016 List
URL Address
<a href="https://doi.org/10.1080/10410236.2016.1196412">https://doi.org/10.1080/10410236.2016.1196412</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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A Qualitative Examination Of Physician Gender And Parental Status In Pediatric End-of-life Communication
Publisher
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Health Communication
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Creator
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Bateman LB; White ML; Tofil NM; Clair JM; Needham BL
Description
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In this study we utilized the framework of patient-centered communication to explore the influence of physician gender and physician parental status on (1) physician-parent communication and (2) care of pediatric patients at the end of life (EOL). The findings presented here emerged from a larger qualitative study that explored physician narratives surrounding pediatric EOL communication. The current study includes 17 pediatric critical care and pediatric emergency medicine physician participants who completed narrative interviews between March and October 2012 to discuss how their backgrounds influenced their approaches to pediatric EOL communication. Between April and June of 2013, participants completed a second round of narrative interviews to discuss topics generated out of the first round of interviews. We used grounded theory to inform the design and analysis of the study. Findings indicated that physician gender is related to pediatric EOL communication and care in two primary ways: (1) the level of physician emotional distress and (2) the way physicians perceive the influence of gender on communication. Additionally, parental status emerged as an important theme as it related to EOL decision-making and communication, emotional distress, and empathy. Although physicians reported experiencing more emotional distress related to interacting with patients at the EOL after they became parents, they also felt that they were better able to show empathy to parents of their patients.
Identifier
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<a href="https://doi.org/10.1080/10410236.2016.1196412">10.1080/10410236.2016.1196412</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Bateman LB
Health Communication
July 2016 List