Pediatric residents' and attending physicians' perspectives on the ethical challenges of end of life care in children.
Year: 2018
Type: article
Study design: Observational Study
Abstract: Forty-eight out of 92 pediatricians were enrolled in this research, including 8 attendings, 6 fellows, and 34 residents. The study questionnaire consisted of 66 items. It was built based on previous reliable and validated questionnaire; also the calculated Cranach's alpha was 0.815. Data were analyzed and presented by mean SD and percentage. While seventy-five percent of the participants reported involvement in pediatric palliative care, fifty-six percent did not acknowledge any information about the subject. More than half of the participants perceived the pediatric palliative care services in Namazi Hospital as somewhat or completely satisfactory. Furthermore, thirty-five percent of the applicants stated that they encounter an ethical problem with regard to PPC once a week. There are many challenges to providing decent palliative care for children, including symptom controlling, shifting to end of life care, background dissimilarities of patients, financial restrictions, and acceptance of death. Our applicants believed that offering psycho-spiritual support was the most important challenge in PPC. However, further investigations are needed to determine other requirements for providing a comprehensive guideline on PPC.
Source: PubMed
Authors: Alireza Ebrahimi, Sedigheh Ebrahimi
Institution: Shiraz University of Medical Sciences
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2942463762