Evidence map›Paper›PMID 39314872›Full record

ArticlePalliative care and social practice2024

Parents' and healthcare professionals' experiences with the content of an individual care plan for pediatric palliative care: a mixed-method study.

Chantal Y Joren, Marijke C Kars, Leontien C M Kremer, Suzanne C Hofman, Hester Rippen-Wagner, Ria Slingerland-Blom, Chantal van der Velden, Meggi Schuiling-Otten, A A Eduard Verhagen, Judith L Aris-Meijer

Abstract read
In one paragraph

Article in Palliative care and social practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chantal Y JorenUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Hanzeplein 1, Groningen 9713 GZ, The Netherlands.ORCID https://orcid.org/0000-0003-3928-1973
Marijke C KarsCenter of Expertise in Palliative Care Utrecht, Julius Center of Health and Primary Care, UMC Utrecht, Utrecht, The Netherlands.
Leontien C M KremerPrincess Maxima Centre for Pediatric Oncology, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0001-7422-3248
Suzanne C HofmanUniversity Medical Center Utrecht, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Hester Rippen-WagnerDutch Foundation Child and Hospital, Utrecht, The Netherlands.
Ria Slingerland-BlomDutch Centre of Expertise in Children's Palliative Care, Utrecht, The Netherlands.
Chantal van der VeldenDutch Centre of Expertise in Children's Palliative Care, Utrecht, The Netherlands.
Meggi Schuiling-OttenDutch Centre of Expertise in Children's Palliative Care, Utrecht, The Netherlands.
A A Eduard VerhagenUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Groningen, The Netherlands.
Judith L Aris-MeijerUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Individual Care Plan (ICP) for pediatric palliative care translates the general guideline recommendations into a personalized plan for the child. Various documents exist in pediatrics globally, aimed at facilitating anticipatory care or coordinating end-of-life care. The ICP aims both, but user experiences have not been studied post-development. Objective: The overall aim is to enhance knowledge and understanding of the content of the ICP from the perspectives of parents and healthcare professionals (HCPs). Design and method: We conducted a mixed-method study using a convergent parallel design consisting of questionnaires and individual and focus group interviews among parents and HCPs having user experience with the ICP. The questionnaire and interview data were analyzed separately. Quantitative data were descriptively analyzed using mean, ±SD, and median. Qualitative data were thematically analyzed. A narrative approach and joint display were used to describe the results. Results: In total, 27 parents and 161 HCPs participated. Overall, the content of the ICP was seen as important and complete, but changes and additions were called for on language, structure, and content. The chapter on the needs and wishes of child and parents was considered most important. HCPs would like to see this chapter expanded to incorporate more advance care planning outcomes, and parents wished for this chapter to reflect better who their child is. HCPs mentioned missing a chapter for palliative sedation, mainly to guide other HCPs. The ICP was appraised as not user-friendly and might possibly improve by making the ICP available in a secure digital environment. Conclusion: To meet the needs of parents and HCPs considering importance and completeness of the content of the ICP and its user-friendliness, changes are necessary in the content of the ICP, and preferably the ICP should be made digitally available. Although various documents exist globally to facilitate anticipatory care or coordinating end-of-life care, it appears that the combination of describing the values and preferences of the child and parents, along with medical decisions and life-sustaining treatments, makes the ICP a unique and comprehensive care plan.

Indexed as

Individual Care Planpediatric advance care planningpediatric palliative care

Identifiers

PMID39314872
PMCPMC11418305

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Registered trials

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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.