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Perceptions of Interprofessional Practitioners Regarding Pediatric Palliative Transports
Harriett Swasey1, Diana Morrill2, Sandra Mott3
1Harriett Swasey is a staff nurse, Critical Care Transport Team, Boston Children's Hospital, Boston, Massachusetts.
Pediatric palliative transport (PPT) offers critically ill children end-of-life care at home. Healthcare practitioners view PPT as a valuable, family-centered pathway, recommending enhanced communication and support for its continued use.
Area of Science:
- Palliative Care
- Pediatric Critical Care
- Healthcare Delivery
Background:
- Pediatric palliative transport (PPT) facilitates end-of-life care at home for critically ill children.
- Existing research highlights benefits for children and families, but practitioner perspectives are understudied.
Purpose of the Study:
- To explore interprofessional practitioners' experiences with PPT.
- To understand their perceptions of PPT as an end-of-life care option.
Main Methods:
- Qualitative descriptive study utilizing 8 focus groups.
- Involved interprofessional staff from intensive care units, advanced care, and transport teams.
- Content analysis identified key themes and recommendations.
Main Results:
- Five themes emerged: PPT as a care pathway, education, communication, support, and closure.
- PPT was seen as aligning with family-centered care and supporting family choices.
- Recommendations included developing better communication and care processes.
Conclusions:
- Pediatric palliative transport is a feasible, valuable, and critical end-of-life intervention.
- The positive impact on families supports continued investment in standardizing and enhancing PPT.
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