Challenges of paediatric palliative care in the intensive care unit during the COVID-19 pandemic
Challenges; Covid-19; Paediatric intensive care unit; Paediatric palliative care
BACKGROUND: The integration of paediatric palliative care into the Iranian health system is essential. AIMS: The aim of this study was to identify the challenges of palliative care in the paediatric intensive care unit during COVID-19 through the experiences of healthcare providers. METHODS: A qualitative study with content analysis approach was conducted. Fifteen physicians and nurses were selected by purposeful sampling. The semi-structured, in-depth interviews were applied in the data collection. FINDINGS: Ten main categories were extracted from data analysis, including 'caring in COVID-19', 'communication and family centre care', 'breaking bad news', palliative care training', 'pain and symptom management', 'support of the child, family and clinical team', 'physical environment', 'guidelines', 'specialised staff' and 'home based palliative care'. CONCLUSION: Palliative care in the PICU faces several challenges, especially during COVID-19, but the clinical team are making every attempt to improve the comprehensive care of children and their families. Telehealth is important in COVID-19, and education is also a key component to improve palliative care in the PICU in Iran.
Hasanpour M; Pouraboli B; Mohammadpour M; Tahmasebi M; Sabeti F
International Journal of Palliative Nursing
2021
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).
<a href="http://doi.org/10.12968/ijpn.2021.27.6.303" target="_blank" rel="noreferrer noopener">10.12968/ijpn.2021.27.6.303</a>
Spiritual Needs Of Families With Bereavement And Loss Of An Infant In The Neonatal Intensive Care Unit: A Qualitative Study
End Of Life Care; Clinical Neurology; Palliative Care; Medicine General & Internal; Health Care Sciences & Services; Providers
Iran; Neonatal Intensive Care Unit; Spiritual Needs; End Of Life; Family; Infants
CONTEXT:
The hospital is a place full of distress and questions about the meaning of life. The death of a child can cause a spiritual struggle and crisis. Therefore, it is necessary for health care providers in the neonatal intensive care unit (NICU) to assess the spiritual needs of families that have lost a child.
OBJECTIVES:
The purpose of this study was to explore the spiritual needs of families in Iran at the end of their baby's life and through bereavement in the NICU.
METHODS:
This study was an exploratory qualitative study performed using purposeful sampling and semi-structured interviews with 24 participants. Inclusion criteria for families, nurses, and physicians included having experienced at least one newborn death in the last six months in the NICU. The research environment was the NICU in Isfahan, one of the largest cities in Iran.
RESULTS:
Data analysis revealed three main themes: spiritual belief in a supernatural power, the need for comfort of the soul, and human dignity for the newborn.
CONCLUSION:
The results of this study created a new vision in addressing spiritual needs of Iranian families who experience the death of a newborn.
N Sadeghi; Hasanpour M; Heidarzadeh M; Alamolhoda A; Waldman E
Journal Of Pain And Symptom Management
2016
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).