1 40 1 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 A name given to the resource October 2023 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 October List 2023 URL Address <a href="http://doi.org/10.1542/peds.2022-061050" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1542/peds.2022-061050</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 A name given to the resource Diversity of Parent Emotions and Physician Responses During End-of-Life Conversations Publisher An entity responsible for making the resource available Pediatrics Date A point or period of time associated with an event in the lifecycle of the resource 2023 Subject The topic of the resource child; human; newborn; death; child parent relation; psychology; emotion; physician; critical illness Creator An entity primarily responsible for making the resource Prins S; Linn AJ; van Kaam AHLC; van de Loo M; van Woensel JBM; van Heerde M; Dijk PH; Kneyber MCJ; de Hoog M; Simons SHP; Akkermans AA; Smets EMA; de Vos MA Description An account of the resource BACKGROUND AND OBJECTIVES: To provide support to parents of critically ill children, it is important that physicians adequately respond to parents' emotions. In this study, we investigated emotions expressed by parents, physicians' responses to these expressions, and parents' emotions after the physicians' responses in conversations in which crucial decisions regarding the child's life-sustaining treatment had to be made. METHOD(S): Forty-nine audio-recorded conversations between parents of 12 critically ill children and physicians working in the neonatal and pediatric intensive care units of 3 Dutch university medical centers were coded and analyzed by using a qualitative inductive approach. RESULT(S): Forty-six physicians and 22 parents of 12 children participated. In all 49 conversations, parents expressed a broad range of emotions, often intertwining, including anxiety, anger, devotion, grief, relief, hope, and guilt. Both implicit and explicit expressions of anxiety were prevalent. Physicians predominantly responded to parental emotions with cognition-oriented approaches, thereby limiting opportunities for parents. This appeared to intensify parents' expressions of anger and protectiveness, although their anxiety remained under the surface. In response to more tangible emotional expressions, for instance, grief when the child's death was imminent, physicians provided parents helpful support in both affect- and cognition-oriented ways. CONCLUSION(S): Our findings illustrate the diversity of emotions expressed by parents during end-of-life conversations. Moreover, they offer insight into the more and less helpful ways in which physicians may respond to these emotions. More training is needed to help physicians in recognizing parents' emotions, particularly implicit expressions of anxiety, and to choose helpful combinations of responses.Copyright © 2023 by the American Academy of Pediatrics. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1542/peds.2022-061050" target="_blank" rel="noreferrer noopener">10.1542/peds.2022-061050</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). 2023 Akkermans AA Child Child Parent Relation Critical Illness de Hoog M de Vos MA Death Dijk PH Emotion Human Kneyber MCJ Linn AJ Newborn October List 2039 Pediatrics Physician Prins S Psychology Simons SHP Smets EMA van de Loo M van Heerde M van Kaam AHLC van Woensel JBM