From: Chinese and Belgian pediatricians’ perspectives toward pediatric palliative care: an online survey
Subscale Item | Scores Mean (SD) | Test Statisticsa | p-valueb | ||
---|---|---|---|---|---|
Mainland China | Flanders | All Participants | |||
Unit Support (α = 0.87)c | 2.80 (0.89) | 3.42 (0.86) | 3.02 (0.89) | t=-5.882 | < 0.001 |
5. The medical staff supports palliative care for dying children in my work setting | 3.69 (1.07) | 4.06 (1.25) | 3.79 (1.13) | ||
6. The physical environment of my work setting is ideal for providing palliative care to dying children | 2.91 (1.18) | 2.65 (1.33) | 2.84 (1.23) | ||
7. My work setting is adequately staffed for providing the needs of dying children requiring palliative care and their families | 2.73 (1.20) | 2.45 (1.52) | 2.66 (1.30) | ||
13. When a child dies in my work setting, I have sufficient time to spend with the family | 2.29 (1.11) | 3.35 (1.34) | 2.57 (1.26) | ||
14. There are policies/guidelines to assist in the delivery of palliative care in my work setting | 2.36 (1.11) | 2.82 (1.40) | 2.48 (1.21) | ||
15. In my work setting, when a diagnosis with a likely poor outcome is made, parents are informed of palliative care options | 2.85 (1.21) | 3.88 (1.16) | 3.12 (1.28) | ||
16. In my work setting, the team expresses its opinions, values, and beliefs about providing care to dying children | 2.77 (1.23) | 3.99 (1.20) | 3.09 (1.34) | ||
19. All members of the healthcare team in my work setting agree with and support palliative care when it is implemented for a dying child | 3.44 (1.04) | 4.19 (1.03) | 3.63 (1.09) | ||
Personal Obstacles (α = 0.71) | 2.25 (0.58) | 3.50 (0.76) | 2.58 (0.84) | t=-16.113 | < 0.001 |
3. I feel a sense of personal failure when a child diesd | 1.68 (0.89) | 3.56 (1.23) | 2.17 (1.29) | ||
17. Caring for dying children is traumatic for med | 2.64 (1.16) | 3.47 (1.27) | 2.85 (1.24) | ||
20. In my work setting, the staff go beyond what they feel comfortable with in using technological life supportd | 2.43 (1.16) | 3.60 (1.15) | 2.74 (1.19) | ||
21. In my work setting, staff are asked by parents to continue life-extending care beyond what they feel is rightd | 1.84 (0.81) | 3.21 (1.31) | 2.20 (1.14) | ||
22. My personal attitude about death affects my willingness to deliver palliative cared | 2.66 (0.81) | 3.68 (1.47) | 2.93 (1.30) | ||
PPC Importance (α = 0.55) | 3.87 (0.52) | 4.51 (0.46) | 4.04 (0.57) | t=-11.775 | < 0.001 |
1. Palliative care is as important as curative care in the pediatric environment | 4.18 (0.94) | 4.70 (0.79) | 4.32 (0.94) | ||
10. When children are dying in my work setting, providing pain relief is a priority for me | 4.12 (0.91) | 4.83 (0.52) | 4.30 (0.88) | ||
12. Palliative care is necessary in pediatric education | 4.46 (0.64) | 4.73 (0.60) | 4.53 (0.64) | ||
23. Palliative care is against the values of pediatric medicined | 3.96 (0.81) | 4.78 (0.77) | 4.18 (0.99) | ||
26. Curative care is more important than palliative care in the pediatric intensive care environmentd | 2.62 (1.12) | 3.50 (1.38) | 2.85 (1.25) | ||
Work Experience (α = 0.66) | 2.76 (0.92) | 2.92 (0.94) | 2.80 (0.93) | t=-1.534 | 0.126 |
2. I have had experience of providing palliative care to dying children and their families | 2.91 (1.35) | 3.62 (1.45) | 3.09 (1.41) | ||
9. My previous experiences of providing palliative care to dying children have been rewarding | 2.85 (1.14) | 3.84 (1.08) | 3.11 (1.21) | ||
11. I am often exposed to death in the pediatric environment | 2.70 (1.35) | 2.12 (1.48) | 2.55 (1.41) | ||
18. I have received in-service education that assists me to support and communicate with parents of dying children | 2.58 (1.22) | 2.08 (1.33) | 2.45 (1.27) |