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dc.contributor.authorBateman, Scot T.
dc.contributor.authorDixon, Rebecca D.
dc.contributor.authorTrozzi, Maria
dc.date2022-08-11T08:10:13.000
dc.date.accessioned2022-08-23T16:59:32Z
dc.date.available2022-08-23T16:59:32Z
dc.date.issued2012-12-03
dc.date.submitted2012-12-10
dc.identifier.citationScot T. Bateman, Rebecca Dixon, and Maria Trozzi. Journal of Palliative Medicine. December 2012, 15(12): 1329-1334. doi:10.1089/jpm.2012.0253. <a href="http://dx.doi.org/10.1089/jpm.2012.0253" target="_blank">Link to article on publisher's site</a>
dc.identifier.issn1557-7740 (Linking)
dc.identifier.doi10.1089/jpm.2012.0253
dc.identifier.pmid22928641
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43607
dc.description.abstractAbstract Objective: The project intended to describe the format of the Wrap-up, a unique multidisciplinary guided debriefing following a child's death. Specific feedback from pediatric residents was sought to assess the model. Methods: The Wrap-ups were timely (within 48 hours of a death), consistent (conducted after each pediatric intensive care unit (PICU) death), multidisciplinary (all care providers were invited), and specifically conducted by someone trained in postdeath facilitation. The role of the conductor was focused on being inclusive, navigating the discussion, diffusing areas of conflict or angst, and managing the tone of the meeting. Resident feedback was obtained by a one-time (May 2010) anonymous internet-based survey, with both open-ended free-text questions and five-point Likert scale queries. Surveyed were all residents rotating though the PICU between 2007 and 2010. Open-ended free-text responses were analyzed using content analysis methods by combining recurrent themes and organizing by main components of the Wrap-up. Quantitative responses, via a five-point Likert scale, were averaged. Results: Between 2007 and 2010, there were 36 PICU deaths. The average age was nine years old. All deaths had an accompanying conductor-led Wrap-up occurring, on average, two days after the death. Sixty percent (27/45) of pediatric residents completed the survey. Their qualitative responses showed that the key components (timely, multidisciplinary, and specifically conducted) of the Wrap-ups were valuable. Quantitatively, they agreed or strongly agreed that the consistent Wrap-ups improved end-of-life care, teamwork, stress surrounding the death, and the ability to care for others. Conclusion: The Wrap-up, a unique forum for debriefing after a pediatric death, was well-received by residents and assisted them with processing, understanding, and resolving their experience regarding the pediatric death. The Wrap-up was a valuable addition to residents' experience and education in pediatric critical care medicine and can be replicated in other institutions.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=22928641&dopt=Abstract">Link to Article in PubMed</a>
dc.rightsCopyright Mary Ann Liebert, Inc. Publisher PDF posted as allowed by the publisher's author rights policy at http://www.liebertpub.com/nv/resources-tools/self-archiving-policy/51/.
dc.subjectDeath
dc.subjectChild
dc.subjectPediatrics
dc.subjectCritical Care
dc.subjectInternship and Residency
dc.subjectEducation, Medical, Graduate
dc.subjectAttitude to Death
dc.subjectMedical Education
dc.subjectPediatrics
dc.titleThe wrap-up: a unique forum to support pediatric residents when faced with the death of a child
dc.typeJournal Article
dc.source.journaltitleJournal of palliative medicine
dc.source.volume15
dc.source.issue12
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1017&amp;context=peds_pp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/peds_pp/18
dc.identifier.contextkey3523811
refterms.dateFOA2022-08-23T16:59:32Z
html.description.abstract<p>Abstract Objective: The project intended to describe the format of the Wrap-up, a unique multidisciplinary guided debriefing following a child's death. Specific feedback from pediatric residents was sought to assess the model.</p> <p>Methods: The Wrap-ups were timely (within 48 hours of a death), consistent (conducted after each pediatric intensive care unit (PICU) death), multidisciplinary (all care providers were invited), and specifically conducted by someone trained in postdeath facilitation. The role of the conductor was focused on being inclusive, navigating the discussion, diffusing areas of conflict or angst, and managing the tone of the meeting. Resident feedback was obtained by a one-time (May 2010) anonymous internet-based survey, with both open-ended free-text questions and five-point Likert scale queries. Surveyed were all residents rotating though the PICU between 2007 and 2010. Open-ended free-text responses were analyzed using content analysis methods by combining recurrent themes and organizing by main components of the Wrap-up. Quantitative responses, via a five-point Likert scale, were averaged. Results: Between 2007 and 2010, there were 36 PICU deaths. The average age was nine years old. All deaths had an accompanying conductor-led Wrap-up occurring, on average, two days after the death. Sixty percent (27/45) of pediatric residents completed the survey. Their qualitative responses showed that the key components (timely, multidisciplinary, and specifically conducted) of the Wrap-ups were valuable. Quantitatively, they agreed or strongly agreed that the consistent Wrap-ups improved end-of-life care, teamwork, stress surrounding the death, and the ability to care for others.</p> <p>Conclusion: The Wrap-up, a unique forum for debriefing after a pediatric death, was well-received by residents and assisted them with processing, understanding, and resolving their experience regarding the pediatric death. The Wrap-up was a valuable addition to residents' experience and education in pediatric critical care medicine and can be replicated in other institutions.</p>
dc.identifier.submissionpathpeds_pp/18
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages1329-34


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