Aligning guidelines and medical practice: Literature review on pediatric palliative care guidelines.
Palliat Support Care
; 15(4): 474-489, 2017 08.
Article
em En
| MEDLINE
| ID: mdl-28065197
ABSTRACT
OBJECTIVE:
Palliative care for children is becoming an important subspecialty of healthcare. Although concurrent administration of curative and palliative care is recommended, timely referral to pediatric palliative care (PPC) services remains problematic. This literature review aims to identify barriers and recommendations for proper implementation of palliative care for children through the looking glass of PPC guidelines.METHOD:
To identify studies on PPC guidelines, five databases were searched systematically between 1960 and 2015 Scopus, PubMed, PsycINFO, the Web of Science, and CINAHL. No restrictions were placed on the type of methodology employed in the studies.RESULTS:
Concerning barriers, most of the papers focused on gaps within medical practice and the lack of evidence-based research. Common recommendations therefore included training and education of healthcare staff, formation of a multidisciplinary PPC team, research on the benefits of PPC, and raising awareness about PPC. A small number of publications reported on the absence of clear guidance in PPC documents regarding bereavement care, as well as on the difficulties and challenges involved in multidisciplinary care teams. SIGNIFICANCE OFRESULTS:
Our results indicate that a critical assessment of both the research guidelines and medical practice is required in order to promote timely implementation of PPC for pediatric patients.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Pediatria
/
Guias como Assunto
/
Prática Clínica Baseada em Evidências
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Systematic_reviews
Limite:
Adolescent
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Child
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Child, preschool
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Humans
Idioma:
En
Revista:
Palliat Support Care
Assunto da revista:
TERAPEUTICA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Suíça