Challenges of paediatric palliative care in the intensive care unit during the COVID-19 pandemic.
Challenges
Paediatric intensive care unit
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 Aug 2021
02 Aug 2021
Historique:
entrez:
30
8
2021
pubmed:
31
8
2021
medline:
12
10
2021
Statut:
ppublish
Résumé
The integration of paediatric palliative care into the Iranian health system is essential. The aim of this study was to identify the challenges of palliative care in the paediatric intensive care unit during COVID-19 through the experiences of healthcare providers. A qualitative study with content analysis approach was conducted. Fifteen physicians and nurses were selected by purposeful sampling. The semi-structured, in-depth interviews were applied in the data collection. Ten main categories were extracted from data analysis, including 'caring in COVID-19', 'communication and family centre care', 'breaking bad news', palliative care training', 'pain and symptom management', 'support of the child, family and clinical team', 'physical environment', 'guidelines', 'specialised staff' and 'home based palliative care'. Palliative care in the PICU faces several challenges, especially during COVID-19, but the clinical team are making every attempt to improve the comprehensive care of children and their families. Telehealth is important in COVID-19, and education is also a key component to improve palliative care in the PICU in Iran.
Sections du résumé
BACKGROUND
BACKGROUND
The integration of paediatric palliative care into the Iranian health system is essential.
AIMS
OBJECTIVE
The aim of this study was to identify the challenges of palliative care in the paediatric intensive care unit during COVID-19 through the experiences of healthcare providers.
METHODS
METHODS
A qualitative study with content analysis approach was conducted. Fifteen physicians and nurses were selected by purposeful sampling. The semi-structured, in-depth interviews were applied in the data collection.
FINDINGS
RESULTS
Ten main categories were extracted from data analysis, including 'caring in COVID-19', 'communication and family centre care', 'breaking bad news', palliative care training', 'pain and symptom management', 'support of the child, family and clinical team', 'physical environment', 'guidelines', 'specialised staff' and 'home based palliative care'.
CONCLUSION
CONCLUSIONS
Palliative care in the PICU faces several challenges, especially during COVID-19, but the clinical team are making every attempt to improve the comprehensive care of children and their families. Telehealth is important in COVID-19, and education is also a key component to improve palliative care in the PICU in Iran.
Identifiants
pubmed: 34459244
doi: 10.12968/ijpn.2021.27.6.303
doi:
Types de publication
Journal Article
Langues
eng