Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Apr 2010
Multicenter StudyLearning that leads to action: impact and characteristics of a professional education approach to improve the care of critically ill children and their families.
To determine the impact of an innovative professional educational approach on clinicians' confidence and ability to make institutional improvements in pediatric palliative care. ⋯ The intervention was successful in improving clinicians' confidence and catalyzed improvements in pediatric palliative care within participating institutions. Relational learning holds promise for professional learning, especially when the educational goal is tied to enabling a shift in social and ethical norms.
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Arch Pediatr Adolesc Med · Apr 2010
ReviewPsychiatric morbidity in pediatric critical illness survivors: a comprehensive review of the literature.
To review the prevalence of psychiatric syndromes in pediatric critical illness survivors as well as to summarize data on vulnerabilities and pediatric intensive care unit exposures that may increase risk of developing these syndromes. ⋯ Psychiatric morbidity appears to be a substantial problem for pediatric critical illness survivors. Future research should include more in-depth assessment of post-critical illness depressive, anxiety, and psychotic symptoms, validate existing psychiatric instruments, and clarify how vulnerability factors, pediatric intensive care unit service-delivery characteristics, and severity of critical illnesses are associated with subsequent psychopathology.