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Challenges of Paediatric Palliative Care in the Intensive Care Unit During the Covid-19 Pandemic Publisher Pubmed



Hasanpour M1 ; Pouraboli B2 ; Mohammadpour M3 ; Tahmasebi M4 ; Sabeti F5
Authors
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Authors Affiliations
  1. 1. Department of Iranian Scientific Association of Medical Education, International Coordinator of Paediatric and Neonatal Intensive Care Nursing Education Department, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of and Neonatal Intensive Care Nursing Education Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Paediatric Critical Care Division, Department of Paediatrics, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Paediatric and Neonatal Intensive Care Nursing Education Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Palliative Nursing Published:2021


Abstract

Background: The integration of paediatric palliative care into the Iranian health system is essential. Aims: 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: 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: 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: 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. © 2021 MA Healthcare Ltd. All rights reserved.
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