Changes in Pediatric Hospital Staff’s Sense of Difficulty Toward Palliative Care:A Single-pediatric Hospital Survey Report

Yuko Nagoya; Atsushi Sato; Kei Kimura; Nobuki Soma; Yuko Yoshimoto; Kumiko Takahashi; Haruka Sakata; Yukari Hachiya; Tomoko Nagasawa; Yuki Otsuka; Ayuko Igarashi

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Changes in Pediatric Hospital Staff’s Sense of Difficulty Toward Palliative Care:A Single-pediatric Hospital Survey Report

VernacularTitle:小児専門病院に勤務するスタッフが感じる緩和ケアの困難感の変化—小児専門病院単施設の調査報告—
Author: Yuko NAGOYA ¹ ; Atsushi SATO ² ; Kei KIMURA ³ ; Nobuki SOMA ⁴ ; Yuko YOSHIMOTO ⁵ ; Kumiko TAKAHASHI ⁵ ; Haruka SAKATA ⁵ ; Yukari HACHIYA ⁵ ; Tomoko NAGASAWA ⁵ ; Yuki OTSUKA ³ ; Ayuko IGARASHI ⁶
Author Information

1. Department of Child Health Nursing, School of Nursing, Miyagi University
2. Department of Hematology and Oncology, Miyagi Children’s Hospital
3. Department of Child Health and Development, Miyagi Children’s Hospital
4. Department of Pharmacology, Miyagi Children’s Hospital
5. Department of Nursing, Miyagi Children’s Hospital
6. Department of Anesthesia, Miyagi Children’s Hospital
Keywords: pediatric palliative care; palliative care team; difficulty
From:Palliative Care Research 2023;18(4):235-240
CountryJapan
Language:Japanese
Abstract: The purpose of this study was to clarify the changes in the sense of difficulty hospital staff felt toward palliative care before and after a palliative care team of the pediatric hospital started in-hospital consultation. A self-administered questionnaire about the difficulty, consisting of 21 items in five areas, was used to conduct a survey in 2015 for the pre-consultation period, and in 2018 for the post-consultation period. Responses were obtained from 222 people in the pre-consultation period (response rate of 70.9%) and from 384 people in the post-consultation period (response rate of 87.3%). Over 70% of the respondents were nurses and midwives. A lower sense of difficulty was observed in three of the items including “relief of painful symptoms”, “family care during caregiving”, and “support when oneself and surrounding staff feeling inadequate and lost”. Further, a significant decrease was observed in the sense of difficulty in six items reported by nurses and midwives in departments receiving the interventions. Eleven of the 16 cases in which the palliative care team intervened involved multiple requests for intervention for 2 patients with pain control difficulties, suggesting that the consultation activities contributed to the decrease in the sense of difficulty experienced by nurses and midwives.