Evaluation of Comfort and Confidence of Neonatal Clinicians in Providing Palliative Care

Peng, Niang-Huei; Liu, Hsiu Feng; Wang, Teh Ming; Chang, Yue Cune; Lee, Ho Yu; Liang, Hwey Fang

doi:10.1089/jpm.2018.0102

Cited by 11 publications

(10 citation statements)

References 17 publications

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“…This research provides insight into the conflicts and cultural challenges surrounding neonatal end-of-life care and further highlights the urgent needs of neonatal clinicians for interdisciplinary, culturespecific palliative care education and communication skills training in order to promote confidence and decrease moral distress experienced while providing end-of-life care to infants in the NICU. 21,22 This is the first research comparing the knowledge and attitudes among neonatal clinicians toward neonatal palliative care in mainland China. However, the study was cross-sectional and conducted in one province in China, so results may differ in other areas.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Barriers to and Facilitators of Neonatal Palliative Care Among Neonatal Professionals in China

Peng

et al. 2021

Am J Hosp Palliat Care

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Objectives: This study investigated institutional and personal barriers to and facilitators of neonatal palliative care facing neonatal professionals in China. Methods: A cross-sectional questionnaire surveyed 231 neonatal clinicians employed in 5 neonatal intensive care units from 2 children’s hospitals and 3 medical centers in China. Measurements: The translated modified version of the Neonatal Palliative Care Attitude Scale was used to survey neonatal clinicians’ attitudes and beliefs regarding neonatal palliative care. Results: Findings highlight 4 facilitators and 5 barriers among participating clinicians. Participants gave contradictory responses regarding the relative importance of curative treatment versus palliative care in the NICU. Negatively traumatic feelings, cultural issues and moral distress may impact this contradictory response and discourage clinicians from providing neonatal palliative care. Additionally, neonatologists and nurses held differing attitudes on several topics (p < 0.05). Conclusion: Further research should address strategies to improve knowledge and attitudes and relieve moral distress in NICU clinicians. Neonatal clinicians providing neonatal palliative care should receive regular palliative care training addressing culture-specific issues and communication skills. Practice Implications: Study findings will be beneficial to inform clinical education and practice. Regular interdisciplinary team training is needed to enhance support for palliative care and decrease clinicians’ moral distress during end-of-life care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Barriers to and Facilitators of Neonatal Palliative Care Among Neonatal Professionals in China

Peng

et al. 2021

Am J Hosp Palliat Care

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“…These items were in three of the eight domains including the structure and process of care, physical aspects of care, and care of the imminently dying and reflect areas of PNPC that physicians often have more experience with. These findings were not surprising since previous work has suggested that physicians are often more confident than nurses in the practice of perinatal and neonatal palliative care (18,19). After participation in the training course, these differences disappeared.…”

Section: Discussionmentioning

confidence: 52%

Assessment of Healthcare Professionals' Self-Perceived Competence in Perinatal/Neonatal Palliative Care After a 3-Day Training Course

2020

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Background: Perinatal/neonatal palliative care (PNPC) offers a plan of care for improving the quality of life of infants when the prolongation of life is no longer the goal of care. The number of PNPC programs has increased in recent years, but training for clinicians has not kept pace. Therefore, an interdisciplinary team developed a 3-day intensive PNPC training course for physicians, nurses, and other healthcare professionals at Columbia University Irving Medical Center (CUIMC). Objective: The aim of this study was to assess the efficacy of a PNPC training course in improving the self-reported competence of participants. Study Design: A cross-sectional survey design was used to obtain data from 88 healthcare professionals who attended the PNPC training course. Data was collected using a validated questionnaire. The questionnaire included 32 items that queried participants about their self-assessed competence using a forced 1-4 Likert scale. The 32 items, which served as the outcome variables, were clustered into the eight domains of palliative care. The survey was administered through a web-based tool at the beginning and the conclusion of the course. Results: Results from two-sample t-tests comparing pre-test and post-test self-assessed competence were statistically significant for each item across disciplines. Additional analysis revealed that after participation in the training course, the statistically significant differences between physicians' and nurses' pre-course self-reported competence disappeared. Conclusion: The development of an evidence-based curriculum improved the self-reported competence of participants across disciplines, filled a specific gap in nurses' self-reported competence and addressed a global training need.

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“…The results of another study in Iran suggested that the performance of the nurses working in NICUs is affected by their age ( 35 ). The results of a study in Taiwan suggested that providing PC for neonates hospitalized in NICUs by clinical specialists is affected by age and relevant training ( 36 ). A study in China showed that nurses who had the experience of participating in courses on death-related issues had a more positive attitude toward caring for terminally ill patients ( 25 ).…”

Section: Discussionmentioning

confidence: 99%

Nurses' attitudes toward caring for terminally ill neonates and their families in Iran: a cross-sectional study

Kadivar¹,

Mardani-Hamooleh²,

Kouhnavard³

et al. 2021

jmehm

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Providing care for terminally ill neonates is an important issue in NICUs. This research aimed to determine nurses’ attitudes toward providing care for terminally ill neonates and their families. A total of 138 nurses working in neonatal intensive care units (NICUs) affiliated to Tehran University of Medical Sciences participated in this cross-sectional study via convenience sampling in 2019. The Data collection tool was the Frommelt attitudes toward caring for terminally ill persons and their families scale. The nurses in this study had the most positive attitudes toward the items “nursing care should include the family of the terminally ill patient, too” (4.2 ± 0.6) and “the care provider can prepare the patient or his/her family for death” (4.1 ± 0.7). The nurses had the least positive attitude toward the item “the time spent on caring for terminally ill patients creates a sense of frustration in me” (1.06 ± 1). The mean score of the attitudes of NICU nurses toward caring for terminally ill neonates and their families indicates the necessity of improving this attitude.

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Evaluation of Comfort and Confidence of Neonatal Clinicians in Providing Palliative Care

Abstract: Research reveals the importance of neonatal palliative education and suggests further development of interdisciplinary neonatal palliative care teams to improve clinicians' professional confidence and personal comfort.

Cited by 11 publications

References 17 publications

Barriers to and Facilitators of Neonatal Palliative Care Among Neonatal Professionals in China

Barriers to and Facilitators of Neonatal Palliative Care Among Neonatal Professionals in China

Assessment of Healthcare Professionals' Self-Perceived Competence in Perinatal/Neonatal Palliative Care After a 3-Day Training Course

Nurses' attitudes toward caring for terminally ill neonates and their families in Iran: a cross-sectional study

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