A lack of knowledge and skills in pediatric palliative care may create hesitation in caring for children with serious life-threatening conditions and their families. Our research examined the effectiveness of pediatric palliative care training for pediatric clinicians. A pretest–posttest study provided educational training in pediatric palliative care to pediatric clinicians and used a pretest and a posttest to assess outcomes. Fifty pediatric clinicians attended this research with 83.3% response rate. After training, participants reported significantly increased confidence in a variety of areas, including providing emotional support to clinicians, personal knowledge, skills, and communication; ethical and legal concerns; and providing emotional support to dying children and their families. Results showed a significant main effect of training on confidence levels (p < .000). This suggests that education can effectively boost pediatric clinicians’ confidence regarding providing pediatric palliative care and therefore should regularly be provided to clinicians.
American Academy of Pediatrics. (2000). Palliative care for children. Pediatrics, 106, 351-357.
2.
BabgiA.RogersS.GomezC.McMahonR. L. (2008). Educational interventions in end-of-life care: Part II: Psychometric development of an instrument to measure nursing comfort after an educational intervention in end-of-life care: The “comfort level caring for dying infants” (CLCDI). Advances in Neonatal Care, 8, 66-70.
3.
BurnsJ. P.MitchellC.GriffithJ. L.TruogR. D. (2001). End-of-life care in the pediatric intensive care unit: Attitudes and practices of pediatric critical care physicians and nurses. Critical Care Medicine, 29, 658-664.
4.
DowningJ.LingJ.BeniniF.PayneS.PapadatouD. (2013). Core competencies for education in paediatric palliative care. European Association for Palliative Care, 2013, 8-19.
5.
DowningJ.LingJ.BeniniF.PayneS.PapadatouD. (2014). A summary of the EAPC white paper on core competencies for education in paediatric palliative care. European Journal of Palliative Care, 21, 245-248.
6.
El-NagarS.LawendJ. (2013). Impact of palliative care education on nurses’ knowledge, attitude and experience regarding care of chronically ill children. Journal of Natural Sciences Research, 3(11), 94-103.
7.
GamondiC.LarkinP.PayneS. (2013). Core competencies in palliative care: An EAPC white paper on palliative care education part I. EuropeanJournal of Palliative Care, 20, 86-91.
8.
HuangL. C.ChenC. H.LiuH. L.LeeH. Y.PengN. H.WangT. M.ChangY. C. (2013). The attitudes of neonatal professionals towards end-of-life decision-making for dying infants in Taiwan. Journal of Medical Ethics, 39, 382-386.
9.
JacobsH. H.FerrellB.SummerL.MalloyP. (2010). Promoting perinatal, neonatal, and pediatric palliative care nursing education (510). Journal of Pain and Symptom Management, 39(2), 411.
10.
JacobsH. H.FerrellB.ViraniR.MalloyP. (2009). Appraisal of the pediatric end-of-life nursing education consortium training program. Journal of Pediatric Nursing, 24, 216-221.
11.
KolarikR. C.WalkerGArnoldR. M. (2006). Pediatric resident education in palliative care: A needs assessment. Pediatrics, 117, 1949-1954.
12.
KongnetimanL.LaiD.BergB. (2008). Cultural competency in paediatric palliative care research report. Alberta, Canada: Alberta Health Services.
13.
KumarS. PJimA.SisodiaV. (2011). Effects of palliative care training program on knowledge, attitudes, beliefs and experiences among student physiotherapists: A preliminary quasi-experimental study. Indian Journal of Palliative Care, 17, 47-53.
14.
LeeM. C.ChenY. C.ChenC. H.LuF. LHsiaoC. CPengN. H. (2016). Comparison the educational needs of neonatologists and neonatal nurses regarding palliative care in Taiwan. American Journal of Hospice & Palliative Medicine, 33, 264-271.
15.
LiuS. M.LinH. R.LuF. L.LeeT. Y. (2014). Taiwanese parents’ experience of making a “do not resuscitate” decision for their child in pediatric intensive care unit. Asian Nursing Research, 8, 29-35.
16.
MalloyP.FerrellB.ViraniR.WilsonK.UmanG. (2006). Palliative care education for pediatric nurses. Pediatric Nursing, 32, 555-561.
17.
MarviscinD. JBonnerC.JeanL. (2012). Pediatric palliative care: Identification of the referral process and collaboration of the pediatric palliative care team and the primary care provider. Journal of Palliative Care & Medicine, 2(4), 1-6.
18.
MichelsonK. N.RyanA. D.JovanovicB.FraderJ. (2009). Pediatric residents’ and fellows’ perspectives on palliative care education. Journal of Palliative Medicine, 12, 451-457.
PengN. H.ChenC. HLiuH. L.LeeH. Y. (2012). To explore the conditions of dying infants in NICU in Taiwan. Journal of Critical Care, 27, 102.e7-102.e13.
21.
PengN. H.LiuH. L.ChenC. H.BachmanJ. (2012). Cultural practices and end-of-life decision-making in the neonatal intensive care unit in Taiwan. Journal of Transcultural Nursing, 23, 320-326.
22.
RogersS.BabgiA.GomezC. (2008). Educational interventions in end-of-life care: Part I an educational intervention responding to the moral distress of NICU nurses provided by an ethics consultation team. Advances in Neonatal Care, 8, 56-65.
23.
RunkleC.WuE.WangE. C.GordonG. H.FrankelR. (2008). Clinician confidence about conversations at the end of life is strengthened using the four habits approach. Journal of Psychosocial Oncology, 26, 81-95.
24.
SchiffmanJ. D.ChamberlainL. J.PalmerL.ControN.SourkesB.SectishT. C. (2008). Introduction of a pediatric palliative care curriculum for pediatric residents. Journal of Palliative Medicine, 11, 164-170.
25.
TangS. T. (2012). End of life decision-making in Taiwan: Healthcare practice is rooted in local culture and laws that should be adjusted to patients’ best interests. Journal of Medical Ethics, 39, 387-388.
26.
Ward-SmithP.LinnJ. B.KorphageR. M.ChristensonK.HuttoC. J.HubbleC. L. (2007). Development of a pediatric palliative care team. Journal of Pediatric Health Care, 21, 245-249.
27.
WilkinsonS.PerryR.BlanchardK.LinsellL. (2008). Effectiveness of a three-day communication skills course in changing nurses’ communication skills with cancer/palliative care patients: A randomised controlled trial. Palliative Medicine, 22, 365-375.
28.
WoolC. (2013). Clinician confidence and comfort in providing perinatal palliative care. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 42, 48-58.
