Pediatric Chronic Critical Illness: Training Teams to Address the Communication Challenges of Patients With Repeated and Prolonged Hospitalizations.

Journal of Pain and Symptom Management
Renee D BossRobert M Arnold

Abstract

Children with chronic critical illness (CCI) have repeated and prolonged hospitalizations. Discrete communication challenges characterize their inpatient care. Develop, implement, and evaluate a communication training for inpatient clinicians managing pediatric CCI. A one-day communication training for interdisciplinary clinicians, incorporating didactic sessions and simulated family and interdisciplinary team meetings. Learners had an average of 11 years' clinical experience. About 34% lacked prior communication training relevant to pediatric CCI. Mean baseline competence across communication skills was 2.6 (range 2.4-3.2), corresponding to less than somewhat prepared; after the training, this increased to a mean of 4.0 (range 3.5-4.5), corresponding to well prepared. Skills with greatest improvement included conducting a family meeting, delivering bad news, discussing stopping intensive care, and end-of-life communication. After one month, perceived competence was sustained for seven of 10 skills; for remaining skills, perceived competence scores decreased by 0.1-0.2. About 100% of learners would recommend the training to colleagues; 89% advocated it for all clinicians caring for children with CCI. Interdisciplinary communica...Continue Reading

References

Mar 11, 2003·Critical Care Medicine·Eric J ThomasRobert L Helmreich
May 14, 2005·CA: a Cancer Journal for Clinicians·Anthony L BackKelly Fryer-Edwards
Jun 27, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·Kelly Fryer-EdwardsAnthony Back
Dec 12, 2007·Archives of Internal Medicine·Judith E NelsonR Sean Morrison
Aug 14, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·E C MeyerD M Browning
Mar 2, 2013·Journal of Perinatology : Official Journal of the California Perinatal Association·R D BossR M Arnold
Sep 6, 2013·Journal of Palliative Medicine·Margaret L SchwarzeToby C Campbell
Nov 8, 2014·Critical Care Medicine·Jeremy M KahnUNKNOWN ProVent Study Group Investigators
Dec 24, 2014·Journal of Critical Care·Robert M ArnoldJudith E Nelson
Aug 19, 2015·Journal of the American Geriatrics Society·Jacqueline M KruserMargaret L Schwarze
Dec 20, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Renee D BossDebra L Roter
Oct 27, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·JoAnna K LeyenaarPeter K Lindenauer
Jan 8, 2017·Journal of Pain and Symptom Management·Jacqueline M KruserMargaret L Schwarze
Sep 19, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Carrie M HendersonRenee D Boss
Mar 24, 2018·Journal of Palliative Medicine·Pamela K DonohueRenee D Boss
May 12, 2018·Acta Paediatrica·Renee D BossUNKNOWN Pediatric Chronic Critical Illness Collaborative
Jan 1, 2019·Journal of Interprofessional Care·Megan GleddiePauline Paul
Mar 17, 2019·Journal of Pain and Symptom Management·Jennifer K WalterChris Feudtner
Jun 16, 2019·Hospital Pediatrics·Lindsay RogozinskiUNKNOWN PCCI collaborative

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Citations

Jun 16, 2021·Patient Education and Counseling·Renee D Boss

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