Conversations about children when an important adult is at end of life: an audit

Purpose: Health and social care professionals report it challenging to have conversations with families when an important adult in the life of a child is at end of life, often feeling this aspect of care is the responsibility of other colleagues. This study aimed to understand professionals’ perceiv...

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Main Authors: Hanna, JR, Rapa, E, Miller, M, Turner, M, Dalton, LJ
Format: Journal article
Language:English
Published: SAGE Publications 2021
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author Hanna, JR
Rapa, E
Miller, M
Turner, M
Dalton, LJ
author_facet Hanna, JR
Rapa, E
Miller, M
Turner, M
Dalton, LJ
author_sort Hanna, JR
collection OXFORD
description Purpose: Health and social care professionals report it challenging to have conversations with families when an important adult in the life of a child is at end of life, often feeling this aspect of care is the responsibility of other colleagues. This study aimed to understand professionals’ perceived role in family-centered conversations as part of routine care at end of life, and how to promote this element of care in clinical practice. Methods: An audit was completed with 116 professionals who work in palliative care including doctors and nurses that attended a 2-day virtual congress. Results: Professionals (73.2%) felt confident about starting a conversation with adult patients at end of life about important children. However, enquiring about relationships with children was largely dependent on the age of the patient. 64.7% of respondents reported signposting families to websites and services that provide family support. Most professionals (76.7%) wanted training to equip them with the skills and confidence to having family-centered conversations at end of life, with videos demonstrating how to provide these elements of care the most preferred option. Conclusions: Short training resources should be developed to equip professionals with the necessary skills toward having conversations about children with patients and relatives in clinical appointments. There is a need for professionals to ask every patient about important relationships with children.
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spelling oxford-uuid:6de918b7-1027-4b20-bcc4-bdfe58d56da52022-06-22T10:34:41ZConversations about children when an important adult is at end of life: an auditJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6de918b7-1027-4b20-bcc4-bdfe58d56da5EnglishSymplectic ElementsSAGE Publications2021Hanna, JRRapa, EMiller, MTurner, MDalton, LJPurpose: Health and social care professionals report it challenging to have conversations with families when an important adult in the life of a child is at end of life, often feeling this aspect of care is the responsibility of other colleagues. This study aimed to understand professionals’ perceived role in family-centered conversations as part of routine care at end of life, and how to promote this element of care in clinical practice. Methods: An audit was completed with 116 professionals who work in palliative care including doctors and nurses that attended a 2-day virtual congress. Results: Professionals (73.2%) felt confident about starting a conversation with adult patients at end of life about important children. However, enquiring about relationships with children was largely dependent on the age of the patient. 64.7% of respondents reported signposting families to websites and services that provide family support. Most professionals (76.7%) wanted training to equip them with the skills and confidence to having family-centered conversations at end of life, with videos demonstrating how to provide these elements of care the most preferred option. Conclusions: Short training resources should be developed to equip professionals with the necessary skills toward having conversations about children with patients and relatives in clinical appointments. There is a need for professionals to ask every patient about important relationships with children.
spellingShingle Hanna, JR
Rapa, E
Miller, M
Turner, M
Dalton, LJ
Conversations about children when an important adult is at end of life: an audit
title Conversations about children when an important adult is at end of life: an audit
title_full Conversations about children when an important adult is at end of life: an audit
title_fullStr Conversations about children when an important adult is at end of life: an audit
title_full_unstemmed Conversations about children when an important adult is at end of life: an audit
title_short Conversations about children when an important adult is at end of life: an audit
title_sort conversations about children when an important adult is at end of life an audit
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