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Long-term nurse-parent relationships in paediatric palliative care: a narrative literature review
Mandy J Brimble1, Sally Anstey2, Jane Davies2
1Senior Lecturer and Professional Doctorate Student, Cardiff University, School of Healthcare Sciences.
Background:
Paediatric palliative care (PPC) is an active, total approach to the holistic care of the child and family. Close, long-lasting relationships between healthcare professionals and parents in paediatric palliative care enhance quality, provide emotional support and can influence how parents manage their role in the face of uncertainty.
Aim:
To present a narrative literature review of long-term relationships between children's nurses and parents in PPC settings.
Methods:
Six databases (CINAHL, PsycINFO, ASSIA, Scopus, Medline and BNI) were searched, identifying 35 articles. A grey literature search produced seven additional relevant items.
Findings:
Four themes were identified: bonds; attachments and trust; sharing the journey; going the extra mile; and boundaries and integrity. All themes revealed an element of tension between closeness and professionalism.
Conclusion:
Gaining a greater understanding of how closeness and professionalism are successfully managed by children's palliative care nurses could positively influence pre- and post-registration nurse education.
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