The Impact of Qualification and Hospice Education on Staff Attitudes during Palliative Care in Pediatric Oncology Wards-A National Survey.

Hungary burnout compassion fatigue compassion satisfaction hospice care medical communication narrative psychology nationwide palliative care pediatric oncology

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
01 Feb 2024
Historique:
received: 21 11 2023
revised: 16 01 2024
accepted: 29 01 2024
medline: 24 2 2024
pubmed: 24 2 2024
entrez: 24 2 2024
Statut: epublish

Résumé

Our knowledge about the attitudes of healthcare staff to palliative care in pediatric oncology is scarce. We aimed to assess their perceptions of palliative care in Hungary and find answers to the question of how to provide good palliative care for children. Physicians ( All providers displayed high negative emotions, positive evaluations, and used many active verbs. Nurses showed higher levels of denial, more self-references, and were more likely to highlight loss. Physicians emphasized the importance of communication regarding adequate or inadequate palliative care. Hospice specialists showed a higher passive verb rate, a lower self-reference, a lower need for psychological support, and a greater emphasis on teamwork and professional aspects. Our results show that nurses are more emotionally stressed than doctors in palliative care in pediatric oncology. To our knowledge, a study comparing doctors and nurses in this field has yet to be carried out. Our results suggest that pediatric oncological staff can positively evaluate a child's palliative care despite the emotional strain. Regarding hospices, professional practice in palliative care may be a protective factor in reducing emotional distress and achieving professional well-being.

Sections du résumé

BACKGROUND BACKGROUND
Our knowledge about the attitudes of healthcare staff to palliative care in pediatric oncology is scarce. We aimed to assess their perceptions of palliative care in Hungary and find answers to the question of how to provide good palliative care for children.
METHOD METHODS
Physicians (
RESULTS RESULTS
All providers displayed high negative emotions, positive evaluations, and used many active verbs. Nurses showed higher levels of denial, more self-references, and were more likely to highlight loss. Physicians emphasized the importance of communication regarding adequate or inadequate palliative care. Hospice specialists showed a higher passive verb rate, a lower self-reference, a lower need for psychological support, and a greater emphasis on teamwork and professional aspects.
CONCLUSION CONCLUSIONS
Our results show that nurses are more emotionally stressed than doctors in palliative care in pediatric oncology. To our knowledge, a study comparing doctors and nurses in this field has yet to be carried out. Our results suggest that pediatric oncological staff can positively evaluate a child's palliative care despite the emotional strain. Regarding hospices, professional practice in palliative care may be a protective factor in reducing emotional distress and achieving professional well-being.

Identifiants

pubmed: 38397290
pii: children11020178
doi: 10.3390/children11020178
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Eurakvilo Pediatric Oncological and Hospice Foundation
ID : 01.2020

Auteurs

Eszter Salamon (E)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Pécs Medical School, József A. Street 7, 7623 Pécs, Hungary.

Éva Fodor (É)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Pécs Medical School, József A. Street 7, 7623 Pécs, Hungary.

Enikő Földesi (E)

Institute of Behavioural Sciences, Semmelweis University, Nagyvárad tér 4, 1089 Budapest, Hungary.

Peter Hauser (P)

Pediatric Center, Semmelweis University, Tűzoltó utca 7-9, 1094 Budapest, Hungary.
Velkey László Child's Health Center, Borsod-Abaúj-Zemplén County Central Hospital and University Teaching Hospital, Szentpéteri kapu 72-76, 3526 Miskolc, Hungary.

Gergely Kriván (G)

Department for Pediatric Hematology and Hemopoietic Stem Cell Transplantation, Central Hospital of Southern Pest, National Institute of Hematology and Infectious Diseases, 1097 Budapest, Hungary.

Krisztina Csanádi (K)

Hemato-Oncology Unit, Heim Pál National Pediatric Institute, 1089 Budapest, Hungary.

Miklós Garami (M)

Pediatric Center, Semmelweis University, Tűzoltó utca 7-9, 1094 Budapest, Hungary.

Gabor Kovacs (G)

Pediatric Center, Semmelweis University, Tűzoltó utca 7-9, 1094 Budapest, Hungary.

Monika Csóka (M)

Pediatric Center, Semmelweis University, Tűzoltó utca 7-9, 1094 Budapest, Hungary.

Lilla Györgyi Tiszlavicz (LG)

Department of Pediatrics, University of Szeged, 6720 Szeged, Hungary.

Csongor Kiss (C)

Department of Pediatrics, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary.

Tímea Dergez (T)

Institute of Bioanalysis, University of Pécs, 7624 Pécs, Hungary.

Gábor Ottóffy (G)

Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Pécs Medical School, József A. Street 7, 7623 Pécs, Hungary.

Classifications MeSH