Commentary: Fear of Massive Deportations in the United States: Social Implications on Deprived Pediatric Communities

Fradkin, Chris

doi:10.3389/fped.2018.00009

Cited by 1 publication

(2 citation statements)

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“…Despite decades of research, misunderstandings and erroneous beliefs surrounding the value of palliative care, particularly in the inpatient setting, have been pervasive. Grunauer and Mikesell [( 33 ), p. 3] listed the more prevalent misconceptions regarding the implementation of palliative care in intensive care units as:…”

Section: Discussionmentioning

confidence: 99%

“…In fact, multiple studies show that initiation of palliative care in a timely manner can improve symptom control, professional communication, the patient's perception of their quality of life, and even lengthen survival times ( 33 ). Dispelling the myths about palliative care and holistic care for neonates and infants with life limiting conditions and their families can be accomplished with ongoing education provided to the entire caregiving staff within each unit ( 18 , 33 , 34 ). More research and widespread education can enhance the appreciation of palliative care, which can foster a benevolent environment.…”

Section: Discussionmentioning

confidence: 99%

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Fostering Vicarious Resilience for Perinatal Palliative Care Professionals

et al. 2020

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Background: The demands on healthcare professionals caring for families grappling with a life-limiting condition in an unborn or newly born child can be overwhelming. Clinicians working in emergency/trauma, hospice, and pediatric settings are already at high risk for burnout and compassion fatigue, which can leave healthcare institutions increasingly vulnerable to poor retention, absenteeism, and waning quality of care. The provision of exemplary palliative care requires a cohesive interdisciplinary team of seasoned professionals resilient to daily challenges. In September 2019, the American College of Gynecology, in a committee opinion, published standard of care guidelines for perinatal palliative care. This has created an impetus for exceptional caregiving and a greater demand for both physician and interdisciplinary healthcare provider education, training, and ongoing support that promotes truly beneficent care for pregnant patients confronted with life-limiting fetal conditions. Methods: A scoping review of the research literature was conducted in order to distinguish the barriers and facilitators of professional resiliency in perinatal palliative care. PubMed, Medline, CINAHL, and EBSCO Psychology & Behavioral Sciences Collections were systematically reviewed. Because of the paucity of studies specific to perinatal palliative care, several interviews of nurses and physicians in that field were conducted and analyzed for content distinctly pertaining to personal practices or workplace factors that support or hinder professional resiliency. Results: The research indicated that medical professionals often cite a lack of knowledge, inexperience using effective communication skills related to perinatal palliative care and bereavement, challenges with interdisciplinary collaboration, misconceptions about the role and function of palliative care in the perinatal or neonatal settings, moral distress, and workload challenges as encumbrances to professional satisfaction. Strategic implementation of facility-wide bereavement care training, effective communication modalities, and evidenced-based practical applications are critical components for a thriving perinatal palliative care team. Authentic formal and informal debriefing, peer mentoring, adequate caseloads, robust provider self-care practices, exceptional relational efficacy, and cultural and spiritual humility can foster personal growth and even vicarious resilience for perinatal palliative care professionals. Conclusions: Support should be strategic and multifaceted. The onus to implement salient measures to cultivate resilience in the perinatal palliative caregiver should not be only upon the individuals themselves but also upon prevailing regulatory governing bodies and healthcare institutions.

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Section: Discussionmentioning

confidence: 99%