PMID- 25740472 OWN - NLM STAT- MEDLINE DCOM- 20160415 LR - 20150716 IS - 1365-2648 (Electronic) IS - 0309-2402 (Linking) VI - 71 IP - 8 DP - 2015 Aug TI - Paediatric end-of-life care needs in Switzerland: current practices, and perspectives from parents and professionals. A study protocol. PG - 1940-7 LID - 10.1111/jan.12650 [doi] AB - AIM: To present a protocol for a multi-phase study about the current practice of end-of-life care in paediatric settings in Switzerland. BACKGROUND: In Switzerland, paediatric palliative care is usually provided by teams, who may not necessarily have specific training. There is a lack of systematic data about specific aspects of care at the end of a child's life, such as symptom management, involvement of parents in decision-making and family-centred care and experiences and needs of parents, and perspectives of healthcare professionals. DESIGN: This retrospective nationwide multicentre study, Paediatric End-of-LIfe CAre Needs in Switzerland (PELICAN), combines quantitative and qualitative methods of enquiry. METHODS: The PELICAN study consists of three observational parts, PELICAN I describes practices of end-of-life care (defined as the last 4 weeks of life) in the hospital and home care setting of children (0-18 years) who died in the years 2011-2012 due to a cardiac, neurological or oncological disease, or who died in the neonatal period. PELICAN II assesses the experiences and needs of parents during the end-of-life phase of their child. PELICAN III focuses on healthcare professionals and explores their perspectives concerning the provision of end-of-life care. CONCLUSION: This first study across Switzerland will provide comprehensive insight into the current end-of-life care in children with distinct diagnoses and the perspectives of affected parents and health professionals. The results may facilitate the development and implementation of programmes for end-of-life care in children across Switzerland, building on real experiences and needs. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01983852. CI - (c) 2015 John Wiley & Sons Ltd. FAU - Bergstraesser, Eva AU - Bergstraesser E AD - Palliative Medicine, University Children's Hospital Zurich, Switzerland. FAU - Zimmermann, Karin AU - Zimmermann K AD - Institute of Nursing Science, University of Basel, Switzerland. AD - Department of Pediatrics, Inselspital Bern University Hospital, Basel, Switzerland. FAU - Eskola, Katri AU - Eskola K AD - Institute of Nursing Science, University of Basel, Switzerland. FAU - Luck, Patricia AU - Luck P AD - Institute of Nursing Science, University of Basel, Switzerland. FAU - Ramelet, Anne-Sylvie AU - Ramelet AS AD - Institute of Higher Education and Nursing Research, University of Lausanne, Switzerland. FAU - Cignacco, Eva AU - Cignacco E AD - Institute of Nursing Science, University of Basel, Switzerland. AD - University of Applied Sciences Bern, Health Division, Basel, Switzerland. LA - eng SI - ClinicalTrials.gov/NCT01983852 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150305 PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM MH - Child MH - *Health Services Needs and Demand MH - Humans MH - *Pediatrics MH - Retrospective Studies MH - Switzerland MH - *Terminal Care OTO - NOTNLM OT - end-of-life care OT - family-centred care OT - nursing OT - paediatric palliative care OT - parental experiences OT - parental needs OT - perspectives of care professionals OT - questionnaire EDAT- 2015/03/06 06:00 MHDA- 2016/04/16 06:00 CRDT- 2015/03/06 06:00 PHST- 2015/02/08 00:00 [accepted] PHST- 2015/03/06 06:00 [entrez] PHST- 2015/03/06 06:00 [pubmed] PHST- 2016/04/16 06:00 [medline] AID - 10.1111/jan.12650 [doi] PST - ppublish SO - J Adv Nurs. 2015 Aug;71(8):1940-7. doi: 10.1111/jan.12650. Epub 2015 Mar 5.