MeSH: Patient Care Planning
Broaching goals-of-care conversations in advancing pediatric cancer
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Broaching conversations about goals of care can be difficult for clinicians. Presently, the communication strategies used by pediatric oncologists to approach goals of care conversations are not well understood. We recorded disease re-evaluation conversations between pediatric oncologists, patients, and parents, capturing 141 conversations (∼2400 minutes) for 17 patients with advancing illness across the study period.…
Goals of Care Discussions and Moral Distress among Neonatal Intensive Care Unit Staff
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CONTEXT: The relationship between quality of Goals of Care (GOC) conversations and moral distress among NICU providers is not known. OBJECTIVES: We sought: 1) to explore levels of moral distress in providers, 2) to evaluate how staff moral distress changes in relation to GOC discussions and 3) to identify elements of GOC discussions associated with…