ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Coping with Patient Death on Pediatric Liver Transplant Teams.

S. Duncan,1 R. Arnon,2 C. Dipietroantonio,1 C. Knight,1 J. Chu,2 R. Annunziato.1

1Psychology, Fordham University, Bronx, NY
2Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.

Meeting: 2016 American Transplant Congress

Abstract number: 550

Keywords: Liver transplantation, Multicenter studies, Pediatric, Psychosocial

Session Information

Date: Tuesday, June 14, 2016

Session Name: Concurrent Session: Psychosocial and Treatment Adherence

Session Time: 4:30pm-6:00pm

 Presentation Time: 5:30pm-5:42pm

Location: Room 206

Related Abstracts
  • Standardizing Quality Improvement Practices in Pediatric Liver Transplantation: The SPLIT A3 Project
  • Use of the Psychosocial Assessment Tool to Identify Risk in Families of Pediatric Liver Transplant Recipients.

Purpose: Few studies have been conducted on how pediatric clinicians cope with patient loss, and there is sparse literature to guide resource allocation specifically among pediatric transplant teams. The purpose of the present study is to determine a) how personnel on pediatric liver transplant teams cope with patient death and b) to offer recommendations for quality improvements.

Methods: With IRB approval, a Qualtrics survey link was sent to the medical director of 25 randomly selected pediatric liver transplant centers from different regions in the US. Medical directors were requested to send the link to all physicians, nurses and support personnel on their team. The survey included questions about available resources, a needs assessment, and standardized measures of adjustment (Maslach Emotional Exhaustion Scale, EE, and the Bereavement Experiences Scale, BES).

Results: Completed surveys were received from 72 respondents (32 physicians, 32 nurses, 8 social workers). The majority reported working in pediatric transplant for at least 6 years (58.9%) and experiencing 1-2 (59.7%) or 3-5 (31.9%) deaths per year. Most described having no formal training in coping with patient loss (83.3%); overwhelmingly (97.2%), respondents thought that formal debriefing procedures would be helpful, although this was routine for just 50%. Respondents frequently offered informal support to teammates (81.4%), but 29% reported that they did not receive any support. Mean scores on the EE (2.92) and the BES (1.38) were comparable to normative data, but nurses, 3.28 (SD=1.18), and social workers, 3.64 (SD=.08), reported significantly more EE than physicians, 2.39 (SD=1.02), F=7.20, p=< .01. Additionally, respondents who have formal debriefing procedures reported significantly less EE, 2.60 (SD=1.21), than those who do not have debriefing, 3.24 (SD=1.05), t=-2.40, p=.02.

Conclusions: Based on a multicenter report, there are gaps in formal resources available to pediatric liver transplant team members after experiencing patient death. Although overall team members adjust well, these findings suggest that provision of routine debriefing after loss is desired and may be associated with better coping. Further research is needed to determine if relatively higher rates of emotional exhaustion among nurses and social workers is associated with loss and patient care responsibilities specific to these roles.

CITATION INFORMATION: Duncan S, Arnon R, Dipietroantonio C, Knight C, Chu J, Annunziato R. Coping with Patient Death on Pediatric Liver Transplant Teams. Am J Transplant. 2016;16 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Duncan S, Arnon R, Dipietroantonio C, Knight C, Chu J, Annunziato R. Coping with Patient Death on Pediatric Liver Transplant Teams. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/coping-with-patient-death-on-pediatric-liver-transplant-teams/. Accessed February 28, 2021.

« Back to 2016 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.