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Staff Perceptions of Dying and Death in a Pediatric Cardiac Intensive Care Unit During COVID-19.
Moynihan, Katie M; Bailey, Valerie; Beke, Dorothy M; Alizadeh, Faraz; Gauvreau, Kimberlee; Snaman, Jennifer M.
  • Moynihan KM; Katie M. Moynihan is a cardiac intensivist, Department of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
  • Bailey V; Valerie Bailey is a nurse practitioner, Critical Care Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts.
  • Beke DM; Dorothy M. Beke is a nurse practice specialist, Cardiovascular and Critical Care Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts.
  • Alizadeh F; Faraz Alizadeh is a cardiology fellow, Department of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
  • Gauvreau K; Kimberlee Gauvreau is a senior biostatistician, Department of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
  • Snaman JM; Jennifer M. Snaman is a palliative care and oncology clinician, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, and Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Am J Crit Care ; 32(3): 221-225, 2023 05 01.
Article in English | MEDLINE | ID: covidwho-2273061
ABSTRACT

BACKGROUND:

Strict visitor restrictions during the COVID-19 pandemic have been associated with staff moral distress in numerous clinical settings, yet little is known about effects on perceptions of pediatric end-of-life care.

OBJECTIVE:

To determine the effect of COVID-19 visitor restrictions on perceptions of quality of dying and death.

METHODS:

This was a cross-sectional survey of interdisciplinary staff caring for dying children in a cardiac intensive care unit with flexible visitation allowances compared with published policies reported in the literature at the time.

RESULTS:

No significant difference in perceptions of quality of dying and death was found between the prepandemic and pandemic periods despite similar clinical care provision. The relatively less stringent allowances at end of life did not adversely affect staff risk for infection.

CONCLUSIONS:

The findings support affording some flexibility to visitation at end of life, which may mitigate negative staff perceptions of quality of dying and death. With the profound effects of COVID-19 on end-of-life care provision, these results may have implications for future global challenges.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Terminal Care / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Child / Humans Language: English Journal: Am J Crit Care Journal subject: Nursing / Critical Care Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Terminal Care / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Child / Humans Language: English Journal: Am J Crit Care Journal subject: Nursing / Critical Care Year: 2023 Document Type: Article