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Dublin Core
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2022 Special Edition 4 - Low Resource Setting List
Text
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Citation List Month
2022 Special Edition Low Resource Setting Issue
URL Address
<a href="http://doi.org/10.1016/j.phoj.2021.08.002" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1016/j.phoj.2021.08.002</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 Palliative Care: Competency and Educational Needs Assessment in Pediatricians of a Developing Country
Publisher
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Pediatric Hematology Oncology Journal
Date
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2021
Subject
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competency; educational need; end-of-life care; pediatric palliative care
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Ul-Ain R; Faizan M; Mohamed A
Description
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Pediatric Palliative Care (PPC) is a nascent subspecialty that aims on achieving the best possible quality of life for children with life-threatening illnesses. To attain this goal in a developing country, Pediatricians require adequate knowledge and skill in this subject. Assessment of competency and educational needs in Pediatricians is the first step towards this aim. A multi-center, self-reported, cross-sectional, online survey was conducted among Pediatric residents and junior staff pediatricians from various teaching hospitals in Pakistan. Data were analyzed in terms of descriptive statistics using SPSS 16. Total 284 Pediatric residents and junior staff pediatricians from 4 different training programs and 13 different teaching hospitals of Punjab, Pakistan recorded their responses. The mean age of respondents was 30.19 years (+2.67 SD) with a male-to-female ratio of 1:1.2. Regarding self-assessment of competency in end-of-life clinical skills, low or below average competence (Mean < 2.55) was reported in assessment and management of terminal delirium, agitation, and anxiety; use of adjuvant analgesics, discussing treatment withdrawal, use of parenteral opioid analgesics, and developing family-centered goals of care. Improved competence was observed with the increasing years of training/experience. Regarding interest(s) in learning about end-of-life clinical topics, all of the 10 topics included in the survey reached a significant level of interest (Mean > 2.5) while the top 3 recommended topics were: Pain assessment and management, assessment and management of terminal delirium, agitation, anxiety, and assessment and management of terminal dyspnea. Pediatricians in a developing country are eager to learn more about PPC but significant gaps exist in current training in PPC in our country that need to be bridged. Copyright © 2021 Pediatric Hematology Oncology Chapter of Indian Academy of Pediatrics
Identifier
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<a href="http://doi.org/10.1016/j.phoj.2021.08.002" target="_blank" rel="noreferrer noopener">10.1016/j.phoj.2021.08.002</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).
2021
2022 Special Edition Low Resource Setting Issue
Competency
educational need
End-of-life Care
Faizan M
Mohamed A
Pediatric Hematology Oncology Journal
Pediatric Palliative Care
Ul-Ain R
-
Dublin Core
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Oncology
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Citation List Month
Oncology 2017 List
URL Address
<a href="http://doi.org/10.1002/pon.4354" target="_blank" rel="noreferrer">http://doi.org/10.1002/pon.4354</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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Self-assessment for competency and educational needs among pediatric resident on end-of-life care
Publisher
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Psycho-oncology
Date
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2017
Subject
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Education; Resident; Terminal Care; 8002-76-4 (opiate); 8008-60-4 (opiate); 53663-61-9 (opiate); Adjuvant; Aged; Child; Clinical Study; Comfort; Communication Skill; Delirium; Drug Withdrawal; Dyspnea; Feeding; Hospice; Human; Hydration; Opiate; Patient Referral; Symptom; Unclassified Drug; Very Elderly
Creator
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Phung B; Soliman A; Mohamed A
Description
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Purpose: There is lack of standardized resident' curriculum or training for the rapidly emerging field of pediatric end of life care. Goal: To assess pediatric residents' perception of their clinical competence with end of life care and their education needs. To identify an opportunity for improving residents' education and training. Methods: End of life resident assessment survey published by D Weissman was used for evaluation. The survey is divided into 2 domains: clinical competency and education needs. Each domain is subdivided into communication skills and symptom management section. Results: Twenty pediatric residents returned the survey, 8 PGY1, 4 PGY2, and 8 PGY3. PGY1 reported the lowest average score (2.56 of 4), with improving score as we moved to PGY3 (3.1 of 4). Regarding competence with domain of communication skills, they reported significantly lower average score 58% compared to 69% for symptoms management (P < .5). The lowest percentage score among all residents was in discussing home hospice referral 52%, followed by the shift from curative to comfort care and withdrawal of support 54%, then DNR 55%. They felt more competent in giving bad news 72% and best in talking to children in age appropriate manner 91%. This was supported by the high percentage (83%) request of education in those areas. For the symptom management domain, the lowest percentage score among all residents was in management of terminal delirium (40%), followed by terminal dyspnea (48%), using adjuvant analgesics (68%) while they felt comfortable with using opioid analgesic (85%). The highest requested education was for the areas of managing delirium (82%) and dyspnea (81%), followed by hydration and feeding at end of life (68%). Conclusions: There is a major gap in the resident self-assessment in end of life communication skills and symptoms management. This present an improvement opportunity that can translate into better care for children at end of life.
Identifier
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<a href="http://doi.org/10.1002/pon.4354" target="_blank" rel="noreferrer">10.1002/pon.4354</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).
2017
53663-61-9 (opiate)
8002-76-4 (opiate)
8008-60-4 (opiate)
Adjuvant
Aged
Child
Clinical Study
Comfort
Communication Skill
Delirium
Drug Withdrawal
Dyspnea
Education
Feeding
Hospice
Human
Hydration
Mohamed A
Oncology 2017 List
Opiate
Patient Referral
Phung B
Psycho-Oncology
Resident
Soliman A
Symptom
Terminal Care
Unclassified Drug
Very Elderly