Provider Perceptions for Withdrawing Life Sustaining Therapies at a Large Pediatric Hospital

More than 74% of pediatric deaths occur in an intensive care unit (ICU), with 40% occurring after withdrawal of life-sustaining therapies (WOLST). No needs assessment has described provider needs or suggestions for improving the WOLST process in pediatrics. This study aims to describe interdisciplin...

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Bibliographic Details
Published in:Journal of pain and symptom management 2022-09, Vol.64 (3), p.e115-e121
Main Authors: Sawyer, Kimberly E., Carpenter, Alana T., Coleman, Ryan D., Tume, Sebastian C., Crawford, Claire A., Casas, Jessica A.
Format: Article
Language:English
Subjects:
cardiovascular intensive care unit
neonatal intensive care unit
palliative care
pediatric intensive care unit
pediatrics
Withdrawal of life-sustaining therapies
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Summary:More than 74% of pediatric deaths occur in an intensive care unit (ICU), with 40% occurring after withdrawal of life-sustaining therapies (WOLST). No needs assessment has described provider needs or suggestions for improving the WOLST process in pediatrics. This study aims to describe interdisciplinary provider self-reported confidence, needs, and suggestions for improving the WOLST process. A convergent parallel mixed-methods design was used. An online survey was distributed to providers involved in WOLSTs in a quaternary children's hospital between January and December 2018. The survey assessed providers’ self-reported confidence in their role, in providing guidance to families about the WOLST, experiences with the WOLST process, areas for improvement, and symptom management. Kruskal-Wallis testing was used for quantitative data analysis with P values
ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2022.05.009