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Children's Palliative Care; the identified Learning Needs of Paediatricians

L Whitla1, M Devins2,3, E J Molloy1,4,5

  • 1Department of Neurodisability and Developmental Paediatrics, Children's Health Ireland at Tallaght, Dublin, Ireland.

Irish Medical Journal
|August 21, 2020
PubMed

Insights

Paediatricians in Ireland report significant gaps in formal paediatric palliative care education. Key training needs include pain management, end-of-life care, and communication skills to better support children and families.

Area of Science:

  • Medical Education
  • Palliative Care
  • Pediatrics

Background:

  • Paediatric palliative care is a specialized field requiring specific expertise.
  • Formal education in paediatric palliative care is not consistently provided to paediatricians.
  • Understanding current learning needs is crucial for developing targeted training programs.

Purpose of the Study:

  • To assess the baseline educational needs of paediatricians in Ireland concerning the care of children with palliative care needs.
  • To identify specific areas within paediatric palliative care where further training is desired by practitioners.

Main Methods:

  • An online survey was administered to paediatricians across Ireland.
  • The survey collected data on demographics, prior formal education, and perceived importance of various paediatric palliative care training topics.
  • Qualitative feedback on clinical challenges was also gathered.

Main Results:

  • 114 paediatricians responded, including Specialist Registrars and Consultant Paediatricians.
  • A majority (57%) reported no formal paediatric palliative care education.
  • High training priorities included pain management (98%), care of the dying child (96%), palliative care resources (95%), advanced care planning (95%), and communication skills (86%).

Conclusions:

  • This study underscores significant learning deficits in paediatric palliative care among Irish paediatricians.
  • Identified needs will guide the creation of relevant and effective educational interventions for doctors.
  • Addressing these gaps can improve the quality of care for children with palliative needs.

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