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The Impact of Qualification and Hospice Education on Staff Attitudes during Palliative Care in Pediatric Oncology Wards—A National Survey.
- Source :
- Children; Feb2024, Vol. 11 Issue 2, p178, 16p
- Publication Year :
- 2024
-
Abstract
- 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: Physicians (n = 30) and nurses (n = 43) working in the field of pediatric oncology (12 of them specialized in hospice care) were interviewed. Palliative care practice (communication, integration of palliative care, professionals' feelings and attitudes, and opportunities for improvement) was assessed by semi-structured interviews evaluated in a mixed quantitative and qualitative way by narrative categorical content analysis and thematic analysis. 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: 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOSPICE care
MEDICAL quality control
DISCLOSURE
THERAPEUTICS
KRUSKAL-Wallis Test
STATISTICS
CHILDREN'S hospitals
ATTITUDES of medical personnel
RESEARCH methodology
DENIAL (Psychology)
ATTITUDE (Psychology)
MEDICAL care
PEDIATRIC oncology nursing
INTERVIEWING
MANN Whitney U Test
FISHER exact test
SURVEYS
HOSPITAL wards
PEDIATRIC nurses
COMMUNICATION
SECONDARY traumatic stress
DESCRIPTIVE statistics
RESEARCH funding
PHYSICIANS
MEDICAL practice
CONTENT analysis
THEMATIC analysis
EMOTIONS
DATA analysis software
DATA analysis
ONCOLOGY
PALLIATIVE treatment
EDUCATIONAL attainment
MEDICAL specialties & specialists
PSYCHOLOGICAL stress
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 22279067
- Volume :
- 11
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Children
- Publication Type :
- Academic Journal
- Accession number :
- 175647726
- Full Text :
- https://doi.org/10.3390/children11020178