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The role of support staff in pediatric palliative care: their perceptions, training, and available resources
Ryan Swinney1, Lu Yin, Andrew Lee
1Keck School of Medicine, University of Southern California, Los Angeles, California 90089-9021, USA.
Insights
Pediatric palliative care support staff experience adverse outcomes and lack adequate training. This study highlights their crucial role and need for more resources in end-of-life care for children.
Area of Science:
- Palliative Care
- Pediatric Healthcare
- Healthcare Support Staff
Background:
- Pediatric palliative care relies on multidisciplinary teams, including medical, nursing, and psychosocial professionals.
- Support staff (e.g., financial counselors, volunteers) are integral but often overlooked in research.
- Previous studies focused on medical and social work staff, neglecting support personnel in palliative care.
Purpose of the Study:
- To examine the impact of involvement in end-of-life pediatric care on support staff.
- To understand the perceptions and training needs of support staff in pediatric palliative care.
- To identify the role and contributions of support staff within the multidisciplinary palliative care team.
Main Methods:
- Surveyed hospital employees serving as support staff in pediatric palliative care.
- Investigated their interactions with dying children and families.
- Assessed perceived adverse outcomes and training adequacy.
Main Results:
- Support staff have significant, direct interactions with terminally ill children and their families.
- Many support staff reported adverse outcomes from these experiences.
- Few support staff felt adequately trained or knowledgeable in palliative care.
- Respondents offered valuable insights on symptom management, cultural sensitivity, and spirituality.
Conclusions:
- Support staff are vital members of pediatric palliative care teams.
- There is a critical need for targeted research, education, and training for support staff.
- Investing in support staff is essential for enhancing the quality of pediatric end-of-life care.
Abstract:
Pediatric palliative care requires the orchestrated efforts of a multidisciplinary care team of medical staff, nursing, psychosocial staff, and other healthcare professionals. Augmenting this team are support staff including financial counsellors, volunteers, secretaries, and others not involved in the direct administration of medical services. Prior research in palliative care has studied the perceptions, training, and professional resources of medical staff and social workers, but neglected to investigate such factors in support staff. Our study examined the effect of involvement in end-of-life pediatric care on support staff. We found this community to consist of a heterogeneous population of hospital employees, who develop numerous, substantial, direct interactions with dying children and their families. They indicated that such experiences had caused some adverse outcomes in their lives, and that few felt they had sufficient knowledge or training in palliative care. Our respondents voiced noteworthy opinions on symptom control, cultural issues, and spirituality pertinent to pediatric palliative care. Support staff play a key role in the palliative care team; research and resources need to be directed to educating, training, and supporting them.
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