End-of-Life Care for the Dying Child: What matters most to parents

Division of Clinical Anesthesia and Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Journal of palliative care (Impact Factor: 0.68). 12/2011; 27(4):279-86.
Source: PubMed


To identify and define the dimensions of pediatric end-of-life (EOL) care that are important to parents.
Parents of children who died as a result of an illness, chronic condition, or birth defect while receiving EOL care in hospital or at home in 2004 and 2005.
Qualitative data derived from semi-structured and focus group interviews were analyzed using content analysis.
A large pediatric hospital located in the Midwestern United States.
Seven dimensions of pediatric EOL care were identified--respect for the family's role, comfort, spiritual care, access to care and resources, communication, support for parental decision making, and caring/ humanism.
There are clear dimensions of pediatric EOL care that are important to parents; these can be defined in terms of health care provider behaviours, some of which require balancing seemingly conflicting objectives. Developing a measurement tool based on these dimensions would help to improve the quality of pediatric EOL care.

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Available from: Terri L Byczkowski, Apr 10, 2015
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