Ekberg-etal2020b
| Ekberg-etal2020b | |
|---|---|
| BibType | ARTICLE |
| Key | Ekberg-etal2020b |
| Author(s) | Katie Ekberg, Lara Weinglass, Stuart Ekberg, Susan Danby, Anthony Herbert |
| Title | The pervasive relevance of COVID-19 within routine paediatric palliative care consultations during the pandemic: A conversation analytic study |
| Editor(s) | |
| Tag(s) | EMCA, COVID-19, Palliative care, Children, Pandemic |
| Publisher | |
| Year | 2020 |
| Language | English |
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| Month | |
| Journal | Palliative Medicine |
| Volume | 34 |
| Number | 9 |
| Pages | 1202–1219 |
| URL | Link |
| DOI | 10.1177/0269216320950089 |
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Abstract
Background: The importance of caring for children with complex and serious conditions means that paediatric palliative care must continue during pandemics. The recent pandemic of Coronavirus Disease 2019 (COVID-19) provides a natural experiment to study health communication during pandemic times. However, it is unknown how communication within consultations might change during pandemics.
Aim: This study, a sub-study of a larger project, aimed to examine real-world instances of communication in paediatric palliative care consultations prior to and during the COVID-19 pandemic to understand how clinicians and families talk about the pandemic.
Design: Paediatric palliative care consultations prior to, during, and immediately following the initial peak of COVID-19 cases in Australia were video recorded and analysed using Conversation Analysis methods.
Setting/participants: Twenty-five paediatric palliative care consultations (including face-to-face outpatient, telehealth outpatient and inpatient consultations) were video recorded within a public children's hospital in Australia. Participants included 14 health professionals, 15 child patients, 23 adult family members and 5 child siblings.
Results: There was a pervasive relevance of both serious and non-serious talk about COVID-19 within the consultations recorded during the pandemic. Topics typical of a standard paediatric palliative care consultation often led to discussion of the pandemic. Clinicians (55%) and parents (45%) initiated talk about the pandemic.
Conclusions: Clinicians should not be surprised by the pervasiveness of COVID-19 or other pandemic talk within standard paediatric palliative care consultations. This awareness will enable clinicians to flexibly address family needs and concerns about pandemic-related matters that may impact health and wellbeing.
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