Pediatric epidemic crisis: Lessons for policy and practice development

Nicholas, David; Gearing, Robin E.; Koller, Donna; Salter, R. Brion; Selkirk, Enid K.

doi:10.1016/j.healthpol.2007.11.006

Cited by 14 publications

(19 citation statements)

References 18 publications

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“…This level of care acumen appears imperative as parents consistently described in hospital PPC during the pandemic as a time of heightened suffering, disruption to family-centered care, and potentially impeded anticipatory grief for families. These findings build upon earlier work suggesting that pediatric and hospital-based care is markedly hindered by infection control restrictions imposed during a pandemic outbreak [8,12,21,25].…”

Section: Discussionsupporting

confidence: 81%

“…These included potential isolation and quarantine; hospital entry screening procedures, stringent in-hospital visitor restrictions, follow-up clinic closures, potential surgery reductions, limited or unavailable home based health services, uncertainties associated with SARS contagion, gowned or masked health care providers which may have caused negative connotations or fear in children, increased illness acuity due to service unavailability, and potential undertreatment during intensified infection control practices [8,10]. The research literature further suggests that in adult and paediatric settings, patients, families, and staff members experienced isolation, insomnia, heightened anxiety and stress, disruptions and/or reduced access to services, and compromised physical and emotional health [9,11,12].…”

Section: Introductionmentioning

confidence: 99%

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Lessons Learned for Pediatric Pandemic Planning in Palliative Care: A Case Study

Beaune

Nicholas²,

Hocken³

2012

J Palliative Care Med

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Aim: This study describes the experiences of parents of hospitalized dying children during the SARS (severe acute respiratory syndrome) outbreak in southern Ontario, Canada in 2003. Recommendations are generated for future pandemic planning related to paediatric palliative care.Methods: A purposive sample of six case studies comprised parents of children who received inpatient care for a non-SARS related life threatening illness during the SARS outbreak. Parents participated in face-to-face, semistructured interviews which took place 6 months to 1 year after their child had died. Interviews focused on parental experiences of services received during the SARS outbreak, including considerations for infection control and restricted visitation practices. Results:The data illuminated three main themes: the impact of communication barriers and limited information; repercussions of visitation restrictions; and the importance of maintaining a high quality of care despite infection control challenges. Parents identified their coping strategies, and recommend enhanced and nuanced care for dying children and their families during health crises. Negative impacts of pandemic control strategies included isolation due to infection control, whereas recommendations promote the enhancement of family-centered pediatric palliative care. Conclusions:Understanding parental experience can contribute to the overall development of recommendations for future pandemic planning, with respect to the unique needs of dying children and their families. Specific recommendations such as flexible family access policies and the creative use of social media technologies are recommended as health care facilities embark on pandemic preparation plans. Given the significant lack of pandemic planning in pediatric palliative care, these findings are an important first step in developing a framework that supports children with a life threatening illness during a public health crisis.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Lessons Learned for Pediatric Pandemic Planning in Palliative Care: A Case Study

Beaune

Nicholas²,

Hocken³

2012

J Palliative Care Med

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“…5,9 In addition to providing work experience in an international setting, ICIs may also prepare PT students for work in the changing ethno-cultural background of Canada. Between 2001 and, the number of Canadian residents born outside of Canada grew by 13.6%, and in 2006, one in five Canadian residents were foreign born. 11 Additionally, the delivery of health care in Canada is influenced by global health issues, particularly as increased international travel brings people from around the world to Canada.…”

Section: Introductionmentioning

confidence: 99%

“…12 Severe Acute Respiratory Syndrome (SARS) is a notable example of how global health issues affect Canadians, with devastating consequences on health care systems, patients, and health care providers. 13 An integral objective of international clinical experience is to allow students to adapt their knowledge, skills, and professional behaviour to unfamiliar situations within unique cultural and ethical frameworks. 5,14 Jung et al have described international experiences for PT students' ICIs within a single university programme, 14 and other authors have outlined the importance of incorporating international themes in PT curricula, including fostering an appreciation of globalization and the political context of health care.…”

Section: Introductionmentioning

confidence: 99%

Examining International Clinical Internships for Canadian Physical Therapy Students from 1997 to 2007

Crawford¹,

Biggar²,

Adrienne³

et al. 2010

Physiotherapy Canada

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Purpose: To describe international clinical internships (ICIs) for Canadian physical therapy (PT) students, explore the experiences of individuals involved in ICIs, and develop recommendations for future ICIs based on these findings. Methods: This study employed a mixed-methods approach. An online questionnaire surveyed academic coordinators of clinical education (ACCEs, n ¼ 14) on the availability, destinations, and number of ICIs from 1997 to 2007. Semi-structured telephone interviews were then conducted with eight PT students, seven ACCEs, and three supervising clinicians to investigate their ICI experiences. Interview transcripts were coded descriptively and thematically using NVivo. Results: ICIs are currently available at 12 of 14 Canadian PT schools. A total of 313 students participated in ICIs in 51 different destination countries from 1997 to 2007. Over this period, increasing numbers of students participated in ICIs and developing countries represented an increasing proportion of ICI destinations. Key themes identified in the interviews were opportunities, challenges, and facilitating factors. Conclusions: ICIs present unique opportunities for Canadian PT students. Recommendations to enhance the quality of future ICIs are (1) clearly defined objectives for ICIs, (2) additional follow-up post-ICI, and (3) improved record keeping and sharing of information on ICI destination countries and host sites. RÉ SUMÉObjectif : Dé crire les stages cliniques internationaux pour les é tudiants en physiothé rapie canadiens, explorer les expé riences vé cues par les personnes qui ont participé à de tels stages et formuler des recommandations pour les futurs stages internationaux à partir des constatations obtenues. Mé thode : Cette é tude a eu recours à des mé thodologies mixtes. Un questionnaire en ligne a permis d'effectuer un sondage auprè s de coordonnateurs de la formation clinique des université s (CFCUs, n ¼ 14) portant sur la disponibilité , les destinations et les quantité s de stages internationaux disponibles de 1997 à 2007. Des entrevues té lé phoniques semi-structuré es ont ensuite é té ré alisé es auprè s de 8 é tudiants en physiothé rapie, de 7 coordonnateurs de la formation clinique en milieu universitaire et de 3 cliniciens superviseurs de stage afin d'en savoir plus sur leur expé rience de tels stages. La transcription de ces entrevues a é té codé e par description et par thè me à l'aide du logiciel NVivo. Ré sultats : Des stages cliniques internationaux sont pré sentement offerts dans 12 des 14 é coles de physiothé rapie au Canada. Au total, de 1997 à 2007, 313 é tudiants ont pris part à de tels stages, qui ont eu lieu dans 51 pays. Au cours de cette pé riode, un nombre croissant d'é lè ves ont participé à des stages cliniques internationaux. Les stages dans des pays en dé veloppement forment une plus grande proportion des destinations pour ces types de stages. Les grands thè mes é voqué s dans les entrevues ont é té les possibilité s offertes par de tels stages, les dé fis et les facteurs ...

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“…Additionally, pandemic planning for children and families is often addressed locally, with little coordination among the various levels of planning [28]. This continued neglect of pediatrics, both by policy makers and researchers in pandemic planning, is problematic, as difficulties associated with psychosocial concerns or ethical decision-making are magnified for HCP, children and families [29]. In this paper, we present both provincial and territorial policy statements as they relate to pediatrics based on a website review of plans.…”

Section: Introductionmentioning

confidence: 99%

Pandemic planning in pediatric care: A website policy review and national survey data

et al. 2010

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Pediatric epidemic crisis: Lessons for policy and practice development

Cited by 14 publications

References 18 publications

Lessons Learned for Pediatric Pandemic Planning in Palliative Care: A Case Study

Lessons Learned for Pediatric Pandemic Planning in Palliative Care: A Case Study

Examining International Clinical Internships for Canadian Physical Therapy Students from 1997 to 2007

Pandemic planning in pediatric care: A website policy review and national survey data

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