期刊
JOURNAL OF PEDIATRIC ONCOLOGY NURSING
卷 24, 期 5, 页码 246-254出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1043454207303882
关键词
pediatrics; palliative; end-of-life program development
资金
- NCI NIH HHS [CA-21765] Funding Source: Medline
- NINR NIH HHS [R21 NR008634] Funding Source: Medline
Children living with and dying of advanced-stage cancer suffer physically, emotionally, and spiritually. Relief of their suffering requires comprehensive, compassionate palliative and end-of-life (EoL) care. However, an EoL care program might appear inconsistent with the mission of a pediatric oncology research center committed to seeking cures. Here the authors describe the methods used to achieve full institutional commitment to their EoL care program and those used to build the program's philosophical, research, and educational foundations after they received approval. The authors convened 10 focus groups to solicit staff perceptions of the hospital's current palliative and EoL care. They also completed baseline medical record reviews of 145 patient records to identify key EoL characteristics. The authors then crafted a vision statement and a strategic plan, implemented new research protocols, and established publication and fuding trajectories. They conclude that establishing a state-of-the-art palliative and EoL program in a cure-oriented pediatric setting is achievable via consensus building and recruitment of diverse institutional resources.
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