Table 2.
Benefits | Description | Profession groups | Care settings |
---|---|---|---|
Sense of security and control | Helps to clarify goals of care and gives a clear direction | All professional groupsa (n = 13) | All care settingsb |
Provides clear operation instructions | |||
Prepares for future situations and the dying process | |||
Better quality of care | Avoids treatments that are not in the child’s best interestsMakes families feeling more cared for | Physicians (n= 4), nurses (n = 2) | All care settingsb except emergency care, curative education institutions, and children’s hospice |
Respect of patient autonomy | ADs ensure respect of patient’s/parents’ wishes | Physicians (n = 2), nurse (n = 1) | Outpatient and inpatient care |
pACP: pediatric advance care planning; AD: advance directive.
All professional groups include physicians, nurses, and social professionals.
All care settings include pediatric palliative care, pediatric intensive care, pediatric cardiology, neuro-pediatrics, pediatric oncology, emergency care (pediatric, adult), primary care practice, outpatient nursing service, children’s hospice, special nursing facility, and curative education institutions.