Unexpected Pediatric Death and Parental Presence

Thursday, 15 July 2010

Julie Lindsay, MSN, RN
School of Nursing, Texas Tech University Health Sciences Center Anitia Thigpen Perry School of Nursing El Paso, El Paso, TX

Learning Objective 1: The learner will be able to identify two barriers to parental presence during a pediatric resuscitation.

Learning Objective 2: The learner will be able to identify two intervntions to promote parental presence during a pediatric resuscitation.

Purpose: In 2004, 53,000 infants and children between the ages of 0-14 died. Almost 7000 of these deaths were related to accidents including homicide and trauma (CDC, 2006). There are few studies exploring the effect of pediatrics death, after an unsuccessful resuscitation on the clinicians were who present to determine if palliative care education, debriefing, and other interventions might have had a positive effect on encouraging parental presence (Dingermann et al., 2007).This study is to better understand the experience of an unexpected pediatric death and parental presence from the perspective of emergency service personnel.
Methods: •         Design: mixed methods using a phenomenological approach.
•          A purposive sampling design will be used to recruit emergency service personnel. An in-service will be done with Emergency department staff and physicians.
•          Methods of Data Collection and Analysis: anonymous questionnaire made available to emergency service personnel related to professional experiences of pediatric death. Analysis through descriptive statistics of questionnaires/surveys and thematic analysis of the statements answered.
Results: Will be presented at the conference Conclusion: Findings will be used to form ED policy and procedures on pediatric end-of-life issues. Goals of policy and procedures are to enhance: 1) child/parent/family end-of-life care in the Emergency Department and 2) mental health and well-being of ED personnel who provide care for these children and their families.  .
Center for Disease Control. National Vital Statistics Report. Retrieved October 1, 2008, http://www.cdc.gov./nch/data/nurs54/nurs54_19.pdf
Davies, B. Sehring, S.A., Patridge, J.C., Cooper, B. A., Hughes, A., Philips, J. C., Amidi-Nouri, A., Kramer, R. F. (2008, Feburary) Barriers to palliative care for children: perceptions of pediatric health cre providers. Pediatrics, 121(2), 282-288
Dingemann, R. S., Mitchell, E.A., Meyer, E.C.,&Curley, M.A. (2007, October, 2007). Parent presence during complex invasive procedures and cardiopulmonary resuscitation: a systematic review of the literature. Pediatrics, 120, 842-854.