Pediatric End-of-Life Care Skills Workshop: A novel, deliberate practice approach

Title

Pediatric End-of-Life Care Skills Workshop: A novel, deliberate practice approach

Creator

Scheurer JM; Norbie E; Bye JK; Villacis-Calderon D; Heith C; Woll A; Shu D; McManimon K; Kamrath H; Goloff N

Publisher

Acad Pediatr

Date

2022

Subject

End-of-Life; Simulation; Deliberate Practice; Pediatric Fellows; Pediatrics

Description

INTRODUCTION: Pediatric end of life (EOL) care skills are a high acuity, low occurrence skill set required by pediatric clinicians. Gaps in education and competence for this specialized care can lead to suboptimal patient care and clinician distress when caring for dying patients and their families. METHODS: A half-day workshop using a deliberate practice approach was designed by an inter-professional workgroup including bereaved parent consultants. Pediatric fellows (neonatal-perinatal medicine, critical care, hematology oncology, blood and marrow transplant) and advanced practice providers learned and practiced EOL skills in a safe simulation environment with instruction from interprofessional facilitators and standardized patients. Participant perceived competence (self-efficacy) was measured before, immediately-post, and 3 months post workshop. RESULTS: There were 28 first-time (of 34 total) participants in 4 pilot workshops. Participants reported significantly increased self-efficacy post-workshop for 6 of 9 ratings, which was sustained 3 months afterwards. Most (92%, n=22 of 24 respondents) reported incorporating the workshop training into clinical practice at 3-month follow-up. CONCLUSIONS: With early success of the pilot workshops, future iterative work includes expanding workshops to earlier, interprofessional learners and collecting validity evidence for a competency-based performance checklist tool. A project website (https://z.umn.edu/PECS) was developed for local and collaborative efforts.(1).

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

January List 2023

Collection

Citation

Scheurer JM; Norbie E; Bye JK; Villacis-Calderon D; Heith C; Woll A; Shu D; McManimon K; Kamrath H; Goloff N, “Pediatric End-of-Life Care Skills Workshop: A novel, deliberate practice approach,” Pediatric Palliative Care Library, accessed February 24, 2024, https://pedpalascnetlibrary.omeka.net/items/show/18578.