Integrating the Comfort Theory Into Pediatric Primary Palliative Care to Improve Access to Care

Title

Integrating the Comfort Theory Into Pediatric Primary Palliative Care to Improve Access to Care

Creator

Lafond D A; Bowling S; Fortkiewicz JM; Reggio C; Hinds PS

Publisher

Journal of Hospice & Palliative Nursing

Date

2019

Description

Primary palliative care improves access to symptom control and quality-of-life care for children and families and can reduce moral distress in clinicians. This article describes the application of a nursing theory framework for an evidence-based practice/quality improvement project that embedded pediatric primary palliative care into a hospital-based setting using unit-specific projects. An evidence-based practice/quality improvement project, guided by the Comfort Theory, provided primary palliative care education and mentorship to improve knowledge, skills, and attitudes of direct care clinicians. Training consisted of didactic and self-directed learning, mentoring, and completion of unit-based projects to establish meaning and impact best practices and policies. A total of 149 direct care clinicians, comprising 3 cohorts, enrolled in the program. Improvements in interdisciplinary collaboration in care were demonstrated through 21 unit-based projects, the development of triggers for specialty palliative care consults in several high-risk populations, and the development of institutional guidelines for end-of-life care. The Comfort Theory guided integration of palliative care for children with serious illness and their families. This project empowered direct care clinicians in caring for patients, providing support to clinical staff, and in developing best practices.

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

May 2019 List

Collection

Citation

Lafond D A; Bowling S; Fortkiewicz JM; Reggio C; Hinds PS, “Integrating the Comfort Theory Into Pediatric Primary Palliative Care to Improve Access to Care,” Pediatric Palliative Care Library, accessed July 2, 2022, https://pedpalascnetlibrary.omeka.net/items/show/16144.

Social Bookmarking