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Dublin Core
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October 2020 List
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October 2020 List
URL Address
<a href="http://doi.org/10.1111/jpc.15074" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/jpc.15074</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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Improving paediatric advance care planning: Results of a learning needs analysis and simulation-based education programme
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Journal of Paediatrics and Child Health
Date
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2020
Subject
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advance care planning; education; paediatrics; palliative care; simulation
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Katz N T; Sacks B H; Hynson J L; Heywood M; Williams M; Sokol J
Description
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AIM: To assess clinicians' experience, attitudes and confidence with advance care planning (ACP) at a quaternary paediatric referral centre using a learning-needs survey, and then apply this information to develop and examine the feasibility of simulation-based education for this topic. METHODS: An electronic learning-needs survey was distributed to medical, nursing and allied health clinicians from departments who provide primary care for children with life-limiting conditions. Results were incorporated into the design of a simulation-based education session which was piloted with the Royal Children's Hospital Oncology Department. RESULTS: A total of 157 learning-needs surveys were included in analysis, and included quantitative and qualitative responses from nursing, allied health, senior and junior medical staff from intensive care, general and subspecialty medical teams. Most (75.0%) participants had participated in ACP discussions previously. Only 40.1% of participants felt confident to assess appropriate timing of, and 45.2% felt adequately prepared to participate in ACP discussions. Barriers identified were both clinician and patient/parent related, including clinicians not knowing when to address issues (43.9%) or what to say (21.0%). Participants indicated that ACP discussions are most frequently initiated when death is clearly imminent. Following a pilot of simulation-based education with the oncology department, 90% of participants expressed confidence to participate in ACP discussions. CONCLUSIONS: Barriers to paediatric ACP, including lack of clinician training, continue to contribute to delayed conversations. Simulation-based education is a valuable and feasible educational tool that can increase clinicians' understanding and confidence in this area.
Identifier
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<a href="http://doi.org/10.1111/jpc.15074" target="_blank" rel="noreferrer noopener">10.1111/jpc.15074</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
Advance Care Planning
Education
Heywood M
Hynson J L
Journal of Paediatrics and Child Health
Katz N T
October 2020 List
Paediatrics
Palliative Care
Sacks B H
Simulation
Sokol J
Williams M