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Evidence · Systematic review or meta-analysis

The elements of end-of-life care provision in paediatric intensive care units: a systematic integrative review.

Systematic review or meta-analysisBMC Palliative Care2024Full text
  • Care and rehabilitation
  • Communicating with families
  • End-of-life care
  • Medical
  • Nursing
  • Professional practice

Summary

This systematic integrative review synthesises 21 studies on how end-of-life care is provided in paediatric intensive care units, from the perspectives of healthcare professionals and families. It identifies three core elements: recognising entry into the end-of-life stage, discussion and shared decision making with parents, and the care processes during dying, at death and after death. Themes include tailoring care to family beliefs and rituals, interprofessional collaboration and involvement of palliative care teams. Directly applicable to PICU medical and nursing staff.

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