• Tamara Vesel, Meaghan O'Connor, Linda Vesel, Christiana Beveridge, Carolyn McGann, Sophie Jullien, and Yoriko Nishizawa.
• Division of Palliative Care (T.V.), Tufts Medical Center, Boston, Massachusetts, USA; QualityMetric (M.O.C.), Inc., Johnston, Rhode Island, USA; Ariadne Labs at Brigham and Women's Hospital and the Harvard T.H. Chan School of Public Health (L.V.), Boston, Massachusetts, USA; University of Texas Southwestern Medical Center (C.B.), Dallas, Texas, USA; Jigme Dorji Wangchuck National Referral Hospital (C.M., S.J., Y.N.), Thimphu, Bhutan; Children's Hospital of Philadelphia (C.M.), Philadelphia, Pennsylvania, USA; Khesar Gyalpo University of Medical Sciences of Bhutan (Y.N.), Thimphu, Bhutan. Electronic address: tvesel@tuftsmedicalcenter.org.
• J Pain Symptom Manage. 2022 Jan 1; 63 (1): 1-10.

ContextGlobally, approximately 21.6 million children need pediatric palliative care (PPC). The greatest burden lies in low- and middle-income countries, where the demand for PPC exceeds available resources.ObjectivesThe objective of this study was to assess the impact of a PPC workshop on healthcare providers' self-efficacy, comfort and confidence related to the provision of PPC in a Bhutanese referral-level hospital.MethodsThis mixed-methods study included a one-and-a-half day PPC workshop with surveys administered to participants at three time points (before, immediately after, and six months after the workshop) to evaluate changes in self-efficacy, comfort and confidence. The study was conducted in January 2017 with healthcare providers at the Jigme Dorji Wangchuck National Referral Hospital in Thimphu, Bhutan.ResultsForty-one providers participated in the workshop; 38 completed the post-workshop survey and 27 completed the six months post-workshop survey. Results showed statistically significant increases in comfort levels from pre- to post-workshop surveys across nearly all areas. Qualitative results supported these findings.ConclusionThe results of this study suggest that a short, interactive and interdisciplinary workshop, originally designed for the United States setting but adapted to a low resource context, is an effective way to improve providers' self-efficacy, comfort and confidence in the provision of PPC in resource-limited settings.Copyright © 2021. Published by Elsevier Inc.

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