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40
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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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August 2020 List
Text
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Citation List Month
August 2020 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2020.06.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2020.06.005</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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Pediatric Chronic Critical Illness: Training teams to address the communication challenges of patients with repeated and prolonged hospitalizations
Publisher
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Journal of Pain and Symptom Management
Date
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2020
Subject
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Chronic critical illness; Communication; medical education
Creator
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Boss R D; Hirschfeld R S; Silvana B; Emily J; Arnold R M
Description
An account of the resource
CONTEXT: Children with chronic critical illness (CCI) have repeated and prolonged hospitalizations. Discrete communication challenges characterize their inpatient care. OBJECTIVES: Develop, implement and evaluate a communication training for inpatient clinicians managing pediatric CCI. METHODS: A one-day communication training for interdisciplinary clinicians, incorporating didactic sessions and simulated family and interdisciplinary team meetings. RESULTS: Learners had an average of 11 years' clinical experience. 34% lacked prior communication training relevant to pediatric CCI. Mean baseline competence across communication skills was 2.6 (range 2.4-3.2), corresponding to less than "somewhat prepared"; after the training this increased to a mean of 4.0 (range 3.5-4.5), corresponding to "well prepared." Skills with greatest improvement included conducting a family meeting, delivering bad news, discussing stopping intensive care, and end of life communication. After 1 month, perceived competence was sustained for 7/10 skills; for remaining skills, perceived competence scores decreased by 0.1-0.2. 100% of learners would recommend the training to colleagues; 89% advocated it for all clinicians caring for children with CCI. CONCLUSION: Interdisciplinary communication training regarding long stay patients is feasible and valued by novice and seasoned clinicians. The novel integration of intra-team communication skills alongside team-family skills reflects the reality that the care of children with CCI challenges clinicians to communicate well with each other and with families. Teaching interdisciplinary teams to share communication skills has the potential to overcome reported limitations of existing inpatient discussions, which can be dominated by one or two physicians and lack contributions from diverse team members.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2020.06.005" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2020.06.005</a>
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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).
2020
Arnold R M
August 2020 List
Boss R D
Chronic critical illness
Communication
Emily J
Hirschfeld R S
Journal of Pain and Symptom Management
Medical Education
Silvana B
-
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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May 2021 List
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
May 2021 List
URL Address
<a href="http://doi.org/10.1055/s-0041-1724098" target="_blank" rel="noreferrer noopener">http://doi.org/10.1055/s-0041-1724098</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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Pediatric Chronic Critical Illness, Prolonged ICU Admissions, and Clinician Distress
Publisher
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Journal of Pediatric Intensive Care.
Date
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2021
Subject
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Chronic critical illness; communication; health teams; interdisciplinary; palliative care; pediatric intensive care unit
Creator
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Miles AH; Rushton CH; Wise BM; Moore A; Boss RD
Description
An account of the resource
To gain an in-depth understanding of the experience of pediatric intensive care unit (PICU) clinicians caring for children with chronic critical illness (CCI), we conducted, audiotaped, and transcribed in-person interviews with PICU clinicians. We used purposive sampling to identify five PICU patients who died following long admissions, whose care generated substantial staff distress. We recruited four to six interdisciplinary clinicians per patient who had frequent clinical interactions with the patient/family for interviews. Conventional content analysis was applied to the transcripts resulting in the emergence of five themes: nonbeneficial treatment; who is driving care? Elusive goals of care, compromised personhood, and suffering. Interventions directed at increasing consensus, clarifying goals of care, developing systems allowing children with CCI to be cared for outside of the ICU, and improving communication may help to ameliorate this distress. Copyright © 2021 Thieme India. All rights reserved.
Identifier
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<a href="http://doi.org/10.1055/s-0041-1724098" target="_blank" rel="noreferrer noopener">10.1055/s-0041-1724098</a>
Rights
Information about rights held in and over the resource
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).
2021
Boss RD
Chronic critical illness
Communication
health teams
Interdisciplinary
Journal of Pediatric Intensive Care.
May 2021 List
Miles AH
Moore A
Palliative Care
Pediatric Intensive Care Unit
Rushton CH
Wise BM