title: The role of support staff in pediatric palliative care: their perceptions, training, and available resources.
abstract: Pediatric palliative care requires the orchestrated efforts of a multidisciplinary care team of medical staff, nursing, psychosocial staff, and other healthcare professionals. Augmenting this team are support staff including financial counsellors, volunteers, secretaries, and others not involved in the direct administration of medical services. Prior research in palliative care has studied the perceptions, training, and professional resources of medical staff and social workers, but neglected to investigate such factors in support staff. Our study examined the effect of involvement in end-of-life pediatric care on support staff. We found this community to consist of a heterogeneous population of hospital employees, who develop numerous, substantial, direct interactions with dying children and their families. They indicated that such experiences had caused some adverse outcomes in their lives, and that few felt they had sufficient knowledge or training in palliative care. Our respondents voiced noteworthy opinions on symptom control, cultural issues, and spirituality pertinent to pediatric palliative care. Support staff play a key role in the palliative care team; research and resources need to be directed to educating, training, and supporting them.
authors: Keck School of Medicine, University of Southern California, Los Angeles, California 90089-9021, USA.
authors: Ryan
authors: R
authors: Swinney
authors: Lu
authors: L
authors: Yin
authors: Andrew
authors: A
authors: Lee
authors: David
authors: D
authors: Rubin
authors: Clarke
authors: C
authors: Anderson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006117:Grief; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010166:Palliative Care; D010348:Patient Care Team / Q000458:organization & administration*; D010372:Pediatrics; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D012380:Role; D029181:Spirituality; D011795:Surveys and Questionnaires; D000078329:Workforce