Survey Highlights The Need For Specific Interventions To Reduce Frequent Conflicts Between Healthcare Professionals Providing Paediatric End-of-life Care

Title

Survey Highlights The Need For Specific Interventions To Reduce Frequent Conflicts Between Healthcare Professionals Providing Paediatric End-of-life Care

Creator

Archambault-Grenier MA; Roy-Gagnon MH; Gauvin F; Doucet H; Humbert N; Stojanovic S; Payot A; Fortin S; Janvier A; Duval M

Identifier

Publisher

Acta Paediatrica

Date

2017

Subject

Children; Conflict; End-of-life Care; Healthcare Professionals; Survey

Description

AIMS: This study explored how paediatric healthcare professionals experienced and coped with end-of-life conflicts and identified how to improve coping strategies. METHODS: A questionnaire was distributed to all 2,300 professionals at a paediatric university hospital, covering the frequency of end-of-life conflicts, participants, contributing factors, resolution strategies, outcomes and the usefulness of specific institutional coping strategies. RESULTS: Of the 946 professionals (41%) who responded, 466 had witnessed or participated in paediatric end-of-life discussions: 73% said these had led to conflict, more frequently between professionals (58%) than between professionals and parents (33%). Frequent factors included professionals' rotations, unprepared parents, emotional load, unrealistic parental expectations, differences in values and beliefs, parents' fear of hastening death, precipitated situations and uncertain prognosis. Discussions with patients and parents and between professionals were the most frequently used coping strategies. Conflicts were frequently resolved by the time of death. Professionals mainly supported designating one principal physician and nurse for each patient, two-step interdisciplinary meetings - between professionals then with parents - post-death ethics meetings, bereavement follow-up protocols and early consultations with paediatric palliative care and clinical ethics services. CONCLUSION: End-of-life conflicts were frequent and predominantly occurred between healthcare professionals. Specific interventions could target most of the contributing factors. This article is protected by copyright. All rights reserved.

Rights

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).

Citation List Month

October 2017 List

Notes

1651-2227
Archambault-Grenier, Marie-Anne
Roy-Gagnon, Marie-Helene
Gauvin, France
Doucet, Hubert
Humbert, Nago
Stojanovic, Sanja
Payot, Antoine
Fortin, Sylvie
Janvier, Annie
Duval, Michel
Journal Article
Norway
Acta Paediatr. 2017 Aug 9. doi: 10.1111/apa.14013.

Citation

Archambault-Grenier MA; Roy-Gagnon MH; Gauvin F; Doucet H; Humbert N; Stojanovic S; Payot A; Fortin S; Janvier A; Duval M, “Survey Highlights The Need For Specific Interventions To Reduce Frequent Conflicts Between Healthcare Professionals Providing Paediatric End-of-life Care,” Pediatric Palliative Care Library, accessed December 6, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10804.

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