Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/129524
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Type: | Journal article |
Title: | The pervasive relevance of COVID-19 within routine paediatric palliative care consultations during the pandemic: a conversation analytic study |
Author: | Ekberg, K. Weinglass, L. Ekberg, S. Danby, S. Herbert, A. |
Citation: | Palliative Medicine, 2020; 34(9):1202-1219 |
Publisher: | SAGE Publications |
Issue Date: | 2020 |
ISSN: | 0269-2163 1477-030X |
Statement of Responsibility: | Katie Ekberg, Lara Weinglass, Stuart Ekberg, Susan Danby and Anthony Herbert |
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. |
Keywords: | Palliative care; COVID-19; pandemics; communication; child |
Rights: | © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0269216320950089 journals.sagepub.com/home/pmj Creative Commons Attribution 4.0 International (CC BY 4.0) |
DOI: | 10.1177/0269216320950089 |
Grant ID: | http://purl.org/au-research/grants/arc/DP180101941 |
Published version: | http://dx.doi.org/10.1177/0269216320950089 |
Appears in Collections: | Aurora harvest 8 Psychology publications |
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hdl_129524.pdf | Published Version | 492.5 kB | Adobe PDF | View/Open |
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