Nursing Staff's Perception of Barriers in Providing End-of-Life Care to Terminally Ill Pediatric Patients in Southeast Iran.
OBJECTIVE
To determine pediatric nurses' perceptions of intensity, frequency occurrence, and magnitude score of selected barriers in providing pediatric end-of-life (EOL) care.


METHODS
A translated modified version of National Survey of critical care Nurses' s Regarding End-of-Life Care questionnaire was used to assess 151 nurses' perceptions of intensity and frequency occurrence of barriers in caring for dying children.


RESULTS
The highest/lowest perceived barriers magnitude scores were "families not accepting poor child prognosis" (5.04) and "continuing to provide advanced treatment to dying child because of financial benefits to the hospital" (2.19).


CONCLUSIONS
More high perceived barriers by nurses were family-related issues. One of the possible causes of such deficiencies was lack of palliative care (PC) education/PC units in Iran. Thus, developing EOL/PC education may enhance nurses' knowledge/skill to face EOL care challenges.
Razi faculty of Nursing and Midwifery, Kerman, Iran.
Sedigheh
S
Iranmanesh
Razi faculty of Nursing and Midwifery, Kerman, Iran banazadeh54@yahoo.com.
Marjan
M
Banazadeh
Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
Mansoure Azizzadeh
MA
Forozy
D000328:Adult; D001291:Attitude of Health Personnel; D064648:Critical Care Nursing / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D000072222:Nurses, Pediatric / Q000458:organization & administration / Q000523:psychology*; D010465:Perception; D013727:Terminal Care / Q000458:organization & administration* / Q000523:psychology; D019452:Terminally Ill
Southeast Iran; barriers; end-of-life care; nurses’ perception; terminally ill children