Simulation-Based Pediatric Interprofessional Team Training to Facilitate End-of-Life Discussions

Wada, Randal K.; Wong, Lorrie; Flohr, Anke; Arndt, Robin; Ing, Dana; Loos, Joanne R.; Kaneshige, Lori; Teruya, Kimm; Peterman, Kal; Albright, Cheryl L.; Masaki, Kamal

doi:10.1016/j.ecns.2023.02.010

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…This education can come in the form of workshops, simulation practice, experiential learning, and ongoing mentoring by those who are wellskilled in serious illness conversation and care planning. ACP simulation training is both a valuable and feasible educational tool, with positive responses by clinicians and impact to confidence in regard to advance care planning [44,60,79]. Simulation training provides a forum for a clinician to practice a skill and move past the theoretical, with impact from both in person and virtual offerings [79].…”

Section: Discussionmentioning

confidence: 99%

“…ACP simulation training is both a valuable and feasible educational tool, with positive responses by clinicians and impact to confidence in regard to advance care planning [44,60,79]. Simulation training provides a forum for a clinician to practice a skill and move past the theoretical, with impact from both in person and virtual offerings [79].…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Advance Care Planning: A Scoping Review

et al. 2023

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To assess current practice and provide a basis for a provincial template, clinicians at a Canadian pediatric hospice reviewed the literature surrounding pediatric advance care planning (pACP) documentation, process, and implementation for children/youth. The scoping review protocol was developed in accordance with the Joanna Briggs Institute methodology for scoping reviews, and was prospectively registered on the Open Science Framework. MEDLINE, Embase, CINAHL, the Web of Science Core Collection, and Google Scholar, as well as sources of unpublished studies and grey literature, were reviewed. Sixty-four articles met the criteria. Fifteen pACP documentation forms/tools were also identified. Overall, the included articles highlighted that pACP should be a structured, collaborative and iterative process between the family and a trusted or relevant healthcare provider, encompassing medical and non-medical issues. Few articles provided insights into specific elements recommended for advance directive forms. Identified strategies for implementation included a structured, step-by-step pACP interventional tool along with ongoing training, mentorship, and defined organizational structures for the clinician. No single specific ACP tool was acknowledged as the gold standard. Use of a pACP tool, along with ongoing provider education and communication skill development, standardized/accessible documentation, and system-wide quality improvement support, were noted as integral components of pACP.

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