Evidence map›Paper›PMID 31659938›Full record

ArticlePalliative medicine2020

Addressing multidrug resistant pathogens in pediatric palliative care patients-the nurses point of view: A qualitative study.

Pia Schmidt, Almut Hartenstein-Pinter, Julia Wager, Carola Hasan, Boris Zernikow

Abstract read
In one paragraph

Article in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Pia SchmidtPaediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Witten/Herdecke University, Datteln, Germany.ORCID 0000-0001-5843-8636
Almut Hartenstein-PinterPaediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Witten/Herdecke University, Datteln, Germany.
Julia WagerPaediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Witten/Herdecke University, Datteln, Germany.
Carola HasanPaediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Witten/Herdecke University, Datteln, Germany.
Boris ZernikowPaediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Witten/Herdecke University, Datteln, Germany.ORCID 0000-0001-5875-3775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidrug resistant pathogens are a large-scale healthcare issue. In particular, children with life-limiting conditions have a significantly increased risk of multidrug resistant pathogen colonization. Official hygiene requirements recommend children, who are colonized with multidrug resistant pathogens, to be isolated. In the context of pediatric palliative care, such isolation adversely affects the aim of social participation. To overcome this challenge of conflicting interests on a pediatric palliative care inpatient unit, a hygiene concept for patients colonized with multidrug resistant pathogens, called PALLINI, was implemented.

aimThe aim of this study was to identify the nurses' attitudes and opinions toward PALLINI.

methodsNurses (

resultsThe following four categories were identified: (1) safety, (2) effort, (3) quality of care, and (4) participation. All categories demonstrated ambivalence by nursing staff regarding PALLINI. Ambivalence arose from guaranteeing infection control versus noncompliance by the families, additional workload for patients with multidrug resistant pathogens versus lack of resources, impaired relationship with the parents versus enabling better care for the child, as well as enabling some limited contact versus the larger goal of genuine social participation. Despite this, nurses reported the importance of arranging everyday-life for the patients so that they experience as much social participation as possible.

conclusionThe implementation of a new hygiene concept is challenging. Despite positive reception of PALLINI from the nurses, ambivalence remained. Addressing these ambivalences may be critical to best implement the new hygiene concept.

Indexed as

Attitude of Health PersonnelDrug Resistance, MultipleHospice and Palliative Care NursingPediatric NursingChildFemaleHumansHygieneMaleQualitative ResearchQuality of Lifehygienemultidrug resistancenursesPalliative carepediatrics

Identifiers

PMID31659938
PMCPMC7074707

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.