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Text
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Citation List Month
December 2017 List
URL Address
<a href="http://dx.doi.org/10.1016/j.pcl.2017.07.001" target="_blank" rel="noreferrer">http://dx.doi.org/10.1016/j.pcl.2017.07.001</a>
Dublin Core
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Title
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The Collaborative Pediatric Critical Care Research Network: Recent Progress and Future Directions
Creator
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Meert KL; Notterman DA
Identifier
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<a href="http://dx.doi.org/10.1016/j.pcl.2017.07.001" target="_blank" rel="noreferrer">10.1016/j.pcl.2017.07.001</a>
Publisher
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Pediatric Clinics of North America
Date
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2017
Description
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The American Board of Pediatrics first recognized Pediatric Critical Care Medicine as a separate specialty in 1987. Since that time, the number of pediatric intensivists, pediatric intensive care units (PICUs), and PICU beds has continued to grow. Although mortality in PICUs has declined from more than 8% in 1987 to less than 3% today, many survivors of pediatric critical illness suffer chronic illness or disability. Continued research will generate new paradigms of therapy and advance existing management in order to improve short- and long-term outcomes from pediatric critical illness.
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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
December 2017 List
Meert KL
Notterman DA
Pediatric Clinics of North America
-
Dublin Core
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Title
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December 2020 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
December 2020 List
URL Address
<a href="http://doi.org/10.1097/pcc.0000000000002585" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/pcc.0000000000002585</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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Therapeutic Alliance Between Bereaved Parents and Physicians in the PICU
Publisher
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Pediatric Critical Care Medicine
Date
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2020
Subject
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bereavement; child; parent; Pediatric intensive care unit; physician; race; therapeutic alliance
Creator
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Suttle M; Hall MW; Pollack MM; Berg RA; McQuillen PS; Mourani PM; Sapru A; Carcillo JA; Startup E; Holubkov R; Dean JM; Notterman DA; Meert KL
Description
An account of the resource
OBJECTIVES: Therapeutic alliance is the collaborative bond that develops between patients/families and healthcare providers. Our objective is to determine the extent of therapeutic alliance bereaved parents perceive to have occurred with their child's physicians during their child's PICU stay, and associated factors. DESIGN: Multicenter observational study. SETTING: Eight children's hospitals affiliated with the Collaborative Pediatric Critical Care Research Network. PATIENTS: Parents greater than or equal to 18 years old whose child died in a PICU (including cardiac ICU). INTERVENTIONS: Bereaved parents completed the Human Connection Scale, a 16-item measure of therapeutic alliance, 6 months after their child's death. Human Connection Scale scores range from 16 to 64 with higher scores indicating greater alliance. Parents provided sociodemographic data, and medical records were reviewed for the child's clinical characteristics. MEASUREMENTS AND MAIN RESULTS: Two-hundred and thirty-three parents of 157 deceased children responded to the Human Connection Scale with greater than or equal to 80% item completion. Among parents, 146 (62.7%) were female, 155 (66.5%) were White and 46 (19.7%) were Black, 175 (75.1%) were married, and 209 (89.7%) had at least a high-school education. Among children, median age at the time of death was 5.9 years (interquartile range, 0.64-13.9 yr) and 114 (72.6%) died after limitation or withdrawal of life support. Mean Human Connection Scale score was 51.4 ± 11.1 for all parents, 52.6 ± 9.0 for White parents, and 47.0 ± 13.7 for Black parents. In multivariable modeling predicting Human Connection Scale scores, race was the only parent or child characteristic in the final model. Human Connection Scale scores were significantly different (-4.56; 95% CI, -8.53 to -0.6; p = 0.025) between the Black and White parents with items about trust, care, and honest communication showing the greatest mean difference. CONCLUSIONS: Among parents bereaved in the PICU, therapeutic alliance with physicians is moderately high. Future research should identify strategies to strengthen therapeutic alliance with Black parents and examine the role of alliance on bereaved parents' health outcomes.
Identifier
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<a href="http://doi.org/10.1097/pcc.0000000000002585" target="_blank" rel="noreferrer noopener">10.1097/pcc.0000000000002585</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).
2020
Bereavement
Berg RA
Carcillo JA
Child
Dean JM
December 2020 List
Hall MW
Holubkov R
McQuillen PS
Meert KL
Mourani PM
Notterman DA
Parent
Pediatric Critical Care Medicine
Pediatric Intensive Care Unit
Physician
Pollack MM
race
Sapru A
Startup E
Suttle M
therapeutic alliance