Paediatric oncology providers' perspectives on early integration of paediatric palliative care.


Journal

International journal of palliative nursing
ISSN: 2052-286X
Titre abrégé: Int J Palliat Nurs
Pays: England
ID NLM: 9506762

Informations de publication

Date de publication:
02 Mar 2020
Historique:
entrez: 11 4 2020
pubmed: 11 4 2020
medline: 27 4 2021
Statut: ppublish

Résumé

Healthcare providers' perceptions of palliative care in children with cancer influence care management, specifically that of its early integration. Thus, it is crucial to understand the perspectives of the providers on early integration of palliative care so that measures to create informed care decisions are based on reconciling their views. To explore the perceptions of paediatric oncology providers at the Children's Cancer Institute (CCI) in Lebanon regarding the integration of early paediatric palliative care (PPC) in the management of children with cancer. A qualitative descriptive research design with focus groups was used in a leading paediatric oncology setting. The thematic analysis yielded four themes: (1) healthcare providers understood palliative care as pain relief and psychological support mainly at the end of life; (2) the timing of integrating PPC is linked to end of life, advanced disease or treatment failure; (3) interdisciplinary collaboration is important for addressing patients' and families' needs effectively; and (4) communication with the child and family is one of the most difficult aspects of integrating PPC. This study demonstrated the perceptions of healthcare providers about early palliative care in paediatric oncology in Lebanon. It also highlighted the importance of interdisciplinary collaboration and effective communication with the child and family for better management of PPC.

Sections du résumé

BACKGROUND BACKGROUND
Healthcare providers' perceptions of palliative care in children with cancer influence care management, specifically that of its early integration. Thus, it is crucial to understand the perspectives of the providers on early integration of palliative care so that measures to create informed care decisions are based on reconciling their views.
AIMS OBJECTIVE
To explore the perceptions of paediatric oncology providers at the Children's Cancer Institute (CCI) in Lebanon regarding the integration of early paediatric palliative care (PPC) in the management of children with cancer.
METHODS METHODS
A qualitative descriptive research design with focus groups was used in a leading paediatric oncology setting.
FINDINGS RESULTS
The thematic analysis yielded four themes: (1) healthcare providers understood palliative care as pain relief and psychological support mainly at the end of life; (2) the timing of integrating PPC is linked to end of life, advanced disease or treatment failure; (3) interdisciplinary collaboration is important for addressing patients' and families' needs effectively; and (4) communication with the child and family is one of the most difficult aspects of integrating PPC.
CONCLUSION CONCLUSIONS
This study demonstrated the perceptions of healthcare providers about early palliative care in paediatric oncology in Lebanon. It also highlighted the importance of interdisciplinary collaboration and effective communication with the child and family for better management of PPC.

Identifiants

pubmed: 32275476
doi: 10.12968/ijpn.2020.26.3.100
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100-109

Auteurs

Rima Saad (R)

Clinical Nurse Specialist, Children's Cancer Institute, American University of Beirut Medical Center, Lebanon.

Lina Badr Kurdahi (LB)

Professor, Azusa Pacific University, CA, USA.

Nuhad Yazbick-Dumit (N)

Associate Professor, Hariri School of Nursing, American University of Beirut, Lebanon.

Christelle Irani (C)

Registered Nurse, Children's Cancer Institute, American University of Beirut Medical Center, Lebanon.

Samar Muwakkit (S)

Professor, Children's Cancer Institute, American University of Beirut Medical Center, Lebanon.

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