Complexity and challenge in paediatrics: a roadmap for supporting clinical staff and families

Cass, Hilary; Barclay, Sarah; Gerada, Clare; Lumsden, Daniel E; Sritharan, Kaji

doi:10.1136/archdischild-2018-315818

Cited by 24 publications

(21 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gareth AL Jones (1), Gillian Colville (2), Padmanabhan Ramnarayan (3), Kerry Woolfall (4), Yvonne Heward (5), Rachael Morrison (5), Amy Savage (6), James Fraser (7), Michael J Griksaitis (6) Care Unit (PICU) admissions in the UK are rising above levels expected from the growing population [1]. More and more patients have life-limiting conditions and multiple PICU admissions prior to death [2,3].…”

mentioning

confidence: 99%

Psychological impact of working in paediatric intensive care. A UK-wide prevalence study

Jones¹,

Colville²,

Ramnarayan³

et al. 2019

Arch Dis Child

View full text Add to dashboard Cite

ObjectiveTo determine the prevalence of work-related psychological distress in staff working in UK paediatric intensive care units (PICU).DesignOnline (Qualtrics) staff questionnaire, conducted April to May 2018.SettingStaff working in 29 PICUs and 10 PICU transport services were invited to participate.Participants1656 staff completed the survey: 1194 nurses, 270 physicians and 192 others. 234 (14%) respondents were male. Median age was 35 (IQR 28–44).Main outcome measuresThe Moral Distress Scale-Revised (MDS-R) was used to look at moral distress, the abbreviated Maslach Burnout Inventory to examine the depersonalisation and emotional exhaustion domains of burnout, and the Trauma Screening Questionnaire (TSQ) to assess risk of post-traumatic stress disorder (PTSD).Results435/1194 (36%) nurses, 48/270 (18%) physicians and 19/192 (10%) other staff scored above the study threshold for moral distress (≥90 on MDS-R) (χ2 test, p<0.00001). 594/1194 (50%) nurses, 99/270 (37%) physicians and 86/192 (45%) other staff had high burnout scores (χ2 test, p=0.0004). 366/1194 (31%) nurses, 42/270 (16%) physicians and 21/192 (11%) other staff scored at risk for PTSD (χ2 test, p<0.00001). Junior nurses were at highest risk of moral distress and PTSD, and junior doctors of burnout. Larger unit size was associated with higher MDS-R, burnout and TSQ scores.ConclusionsThese results suggest that UK PICU staff are experiencing work-related distress. Further studies are needed to understand causation and to develop strategies for prevention and treatment.

show abstract

mentioning

confidence: 99%

Psychological impact of working in paediatric intensive care. A UK-wide prevalence study

Jones¹,

Colville²,

Ramnarayan³

et al. 2019

Arch Dis Child

View full text Add to dashboard Cite

show abstract

“…The field of medical knowledge has experienced explosive developments in recent decades and, among other things, this has resulted in investigations and treatment within health care becoming increasingly complex and specialised [13,14]. This means that specialist physicians, not least paediatricians, need to update their knowledge on a regular basis and be able to prioritise and find solutions to clinical problems both themselves and in collaboration with colleagues and co-workers in other occupational categories [15,16].…”

Section: Discussionmentioning

confidence: 99%

Integrating a pedagogic course in a CPD programme for paediatricians at out-patient clinics

Holmgren

Hult

Wekell

2021

Journal of European CME

View full text Add to dashboard Cite

Equipping paediatricians for the challenges of the explosive development of knowledge and specialised health care calls for a well-planned continuing professional development (CPD) strategy which updates paediatric competencies and the pedagogic skills among paediatricians. The purpose of the study was to evaluate the effects of a pedagogic course, integrated into a CPD programme for paediatricians at outpatient clinics. The pedagogic course comprised three learning components, participation in a CPD programme, during two and a half years, a pedagogic learning module and a pedagogic assignment. The objectives of all the learning activities, including the pedagogic course, were developed according to adult learning theories. Evaluations were made using questionnaires. Seventeen paediatricians participated in the CPD programme; 13 of them completed the pedagogic learning module and six the full pedagogic course, including the pedagogic assignment-teaching at one's own clinic. Evaluation of the pedagogic assignment at the participants' own clinics by 64 co-workers revealed that the co-workers appreciated the training activities and would recommend them to a colleague. We conclude that it is possible to combine medical and pedagogic education in a CPD programme for paediatricians and that the participants were able to digest and apply the pedagogic principles used in the course.

show abstract

“…As a result, delivery of palliative care for children is 'inconsistent and incoherent' (4). Many of these children are also cared for across paediatric specialities including community paediatrics (11). Planning for development of current and future services is difficult without up to date data on the population of children and young people who would benefit from these services (12).…”

Section: Introductionmentioning

confidence: 99%

Transition of care for young people moving to adult healthcare services

2023

Pharmaceutical Journal

View full text Add to dashboard Cite

Complexity and challenge in paediatrics: a roadmap for supporting clinical staff and families

Cited by 24 publications

References 21 publications

Psychological impact of working in paediatric intensive care. A UK-wide prevalence study

Psychological impact of working in paediatric intensive care. A UK-wide prevalence study

Integrating a pedagogic course in a CPD programme for paediatricians at out-patient clinics

Transition of care for young people moving to adult healthcare services

Contact Info

Product

Resources

About