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Paediatric end-of-life care needs in Switzerland: current practices, and perspectives from parents and professionals. A study protocol.
Journal
Journal of advanced nursing
Volume
71
Number
8
Pages / Article-Number
1940-7
Keywords
end-of-life care, family-centred care, nursing, paediatric palliative care, parental experiences, parental needs, perspectives of care professionals, questionnaire
Mesh terms
Child; Health Services Needs and Demand; Humans; Pediatrics; Retrospective Studies; Switzerland; Terminal Care
Abstract
To present a protocol for a multi-phase study about the current practice of end-of-life care in paediatric settings in Switzerland.; In Switzerland, paediatric palliative care is usually provided by teams, who may not necessarily have specific training. There is a lack of systematic data about specific aspects of care at the end of a child's life, such as symptom management, involvement of parents in decision-making and family-centred care and experiences and needs of parents, and perspectives of healthcare professionals.; This retrospective nationwide multicentre study, Paediatric End-of-LIfe CAre Needs in Switzerland (PELICAN), combines quantitative and qualitative methods of enquiry.; The PELICAN study consists of three observational parts, PELICAN I describes practices of end-of-life care (defined as the last 4 weeks of life) in the hospital and home care setting of children (0-18 years) who died in the years 2011-2012 due to a cardiac, neurological or oncological disease, or who died in the neonatal period. PELICAN II assesses the experiences and needs of parents during the end-of-life phase of their child. PELICAN III focuses on healthcare professionals and explores their perspectives concerning the provision of end-of-life care.; This first study across Switzerland will provide comprehensive insight into the current end-of-life care in children with distinct diagnoses and the perspectives of affected parents and health professionals. The results may facilitate the development and implementation of programmes for end-of-life care in children across Switzerland, building on real experiences and needs.; ClinicalTrials.gov Identifier: NCT01983852.
