Comparison of the Educational Needs of Neonatologists and Neonatal Nurses Regarding Palliative Care in Taiwan

Abstract

Survey data from neonatologists and neonatal nurses in Taiwan indicate a need for further training on a range of neonatal palliative care competencies.

Health Care Professional’s Attitude Towards the Effective Management of Pain in the Critically Ill Neonate

“…Most nurses had a good level of knowledge of pain management, but a few reported negative attitudes towards the use of pharmacological agents during painful procedures such blood sampling or EET for critically ill neonates admitted to intensive care units. Negative attitude have been reported in other studies as the main barriers in pain assessment and alleviation [18,19].…”

Factors Associated With Knowledge and Comfort Providing Palliative Care: A Survey of Pediatricians in Mexico

“…The association between clinicians’ previous PC education and their knowledge has been described widely in different health-care students and professionals both at undergraduate and postgraduate levels. 32 -35 In addition, a greater level of education in PC was associated with higher levels of comfort to work with PPC patients. 36 Similarly, our study found that PC education was not only the factor that increased PC knowledge the most but also increased by 4.3 times the probability of feeling comfortable discussing PC needs.…”

Effectiveness of Pediatric Palliative Care Education on Pediatric Clinicians

“…We designed multiple training models on pediatric palliative care, based on the Framework of Competencies for Level 3 Pediatric Palliative Care Education (Gamondi et al, 2013) and the known educational needs of pediatric clinicians (Kolarik et al, 2006; Lee et al, 2016; Michelson, Ryan, Jovanovic, & Frader, 2009; Peng et al, 2013). The material was presented as a 4-day training conference in Taichung City, Taiwan, and comprised the main curriculum and the supplemental courses.…”

“…The main curriculum was the internationally recognized End-of-Life Nursing Education Consortium-Pediatric Palliative Care (ELNEC-PPC) course, which covers 10 topics and provides the learners with PowerPoint slides and additional resources to enhance the learning experience (Jacobs, Ferrell, Summer, & Malloy, 2010; Malloy, Ferrell, Virani, Wilson, & Uman, 2006). The supplemental training courses addressed ethical and communication issues tailored to the specific educational needs of clinicians in Taiwan (Huang et al, 2013; Lee et al, 2016; Peng et al, 2013). A variety of educational strategies were used, including didactic lectures, case study discussions, role-play, and video viewings; two sessions of panel discussion were also included in the supplemental training.…”

“…Despite urgent needs for pediatric palliative care, research had found that Taiwanese neonatal clinicians reported having received little education in pediatric palliative care and felt an urgent need to improve their knowledge in that area (Lee et al, 2016); in addition, research has identified key educational needs of neonatal nurses regarding neonatal palliative care, including pain and symptom management as well as communication with parents or families regarding the prognosis of illness in neonates (Peng et al, 2013). Another investigation demonstrated that communication skills, including the discussion of poor prognosis, code status, and end-of-life care, were the most commonly felt educational need for both neonatal nurses and neonatologists (Lee et al, 2016).…”