title: Bereaved caregivers as educators in pediatric palliative care: their experiences and impact.
abstract: BACKGROUND
  With the continuing growth of pediatric palliative care, there is an increasing need to develop effective training for health care professionals. Bereaved parents have participated in the training of health care professionals utilizing curriculum from the Initiative for Pediatric Palliative Care (IPPC), but the experience of bereaved parents as educators has not been studied.
  
  
  OBJECTIVE
  This qualitative research examined the experience of bereaved parents involved in pediatric palliative care education of health care professionals and the challenges and possible benefits for the health care professionals.
  
  
  METHODS
  Nine bereaved parents and eleven health care professionals were interviewed about their experiences in a pediatric palliative care education program utilizing the IPPC curriculum. The interviews were recorded, transcribed, coded and analyzed for themes and subthemes.
  
  
  RESULTS
  Major themes found were a sense of purpose for the parents and benefits and challenges for both parents and professionals. The experience for parents contributed to their meaning-making for both their children's lives and deaths. Parents and professionals identified mutual learning and increased mutual understanding. Some professionals noted that the presence of parents may have limited the openness of discussion of the professionals and parents acknowledged challenges of emotional management in their participation in the educational program. Both parents and professionals recognized and described challenges involved in working sensitively with patients and families without being overwhelmed by the intensity of situations where children die.
  
  
  CONCLUSIONS
  More benefits than burdens were experienced by both parents and health care professionals from the participation of bereaved parents in the palliative care trainings.
authors.affiliation: PalCare and Center for Good Mourning, Arkansas Children's Hospital, Little Rock, Arkansas, USA. adamsjg@archildrens.org
authors.forename: Greg
authors.initials: G
authors.lastname: Adams
authors.forename: Angela
authors.initials: A
authors.lastname: Green
authors.forename: Shannon
authors.initials: S
authors.lastname: Towe
authors.forename: Amy
authors.initials: A
authors.lastname: Huett
mesh_terms: D000293:Adolescent; D000328:Adult; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010290:Parents / Q000523:psychology*; D036301:Qualitative Research; D014342:Truth Disclosure; D055815:Young Adult