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Pediatric Palliative Care Education Model in Low Resource Settings: A Mixed-Methods Evaluation
Tamara Vesel1, Meaghan O'Connor1, Linda Vesel1
1Division of Palliative Care (T.V.), Tufts Medical Center, Boston, Massachusetts, USA; QualityMetric (M.O.C.), Inc., Johnston, Rhode Island, USA; Ariadne Labs at Brigham and Women's Hospital and the Harvard T.H. Chan School of Public Health (L.V.), Boston, Massachusetts, USA; University of Texas Southwestern Medical Center (C.B.), Dallas, Texas, USA; Jigme Dorji Wangchuck National Referral Hospital (C.M., S.J., Y.N.), Thimphu, Bhutan; Children's Hospital of Philadelphia (C.M.), Philadelphia, Pennsylvania, USA; Khesar Gyalpo University of Medical Sciences of Bhutan (Y.N.), Thimphu, Bhutan.
A pediatric palliative care (PPC) workshop significantly improved healthcare providers' comfort and confidence in delivering care. This training is effective even in resource-limited settings, addressing a critical global need.
Area of Science:
- Global Health
- Palliative Care
- Medical Education
Background:
- Approximately 21.6 million children worldwide require pediatric palliative care (PPC).
- Low- and middle-income countries face a significant gap between PPC demand and available resources.
Purpose of the Study:
- To evaluate the impact of a PPC workshop on healthcare providers' self-efficacy, comfort, and confidence.
- To assess the effectiveness of adapted PPC training in a resource-limited hospital setting.
Main Methods:
- A mixed-methods study involving a 1.5-day PPC workshop.
- Surveys administered pre-workshop, immediately post-workshop, and six months later.
- Qualitative data collection to support survey findings.
Main Results:
- Statistically significant increases in provider comfort levels were observed post-workshop.
- Participant self-efficacy, comfort, and confidence in providing PPC improved.
- Qualitative feedback corroborated the positive quantitative outcomes.
Conclusions:
- An adapted, interactive, and interdisciplinary PPC workshop can effectively enhance provider skills in resource-limited settings.
- This training model offers a viable solution to improve pediatric palliative care delivery globally.
- The study highlights the potential for scalable interventions to address PPC needs in underserved regions.
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