'Creating a safe space': how perinatal palliative care coordinators navigate care and support for families

Int J Palliat Nurs. 2021 Oct 2;27(8):386-400. doi: 10.12968/ijpn.2021.27.8.386.

Abstract

Background: Families who learn that their unborn baby has a life-limiting fetal condition are often overwhelmed by this news, alongside navigating an unfamiliar healthcare system. A skilled perinatal palliative care coordinator (PPCC) can help these families, yet little is known about their function and roles.

Aims: This study sought to describe the PPCC's approach to care, their guiding principles and the roles, knowledge and skills that enable them to provide exemplary care.

Methods: This qualitative descriptive study included interviews of 12 expert PPCCs. Directed content analysis was used to identify major codes. Iterative analysis led to theme identification.

Findings: Findings include the PPCC's position within the healthcare system, guiding principles, goals, roles and responsibilities, and knowledge and skills. Two figures enhance the understanding of the PPCCs approach to creating a safe space for the family, supporting the interdisciplinary team and facilitating coordinated birth planning.

Conclusions: Every perinatal palliative care programme should include a PPCC. Future research on clinical training could examine the effectiveness of an educational intervention, using the detailed knowledge and skills learned in this study as a curriculum.

Keywords: Care coordinator; Fetal diagnosis; Grief; Perinatal palliative care.

MeSH terms

  • Case Management*
  • Curriculum
  • Delivery of Health Care
  • Family
  • Female
  • Humans
  • Infant, Newborn
  • Palliative Care*
  • Perinatal Care*
  • Pregnancy
  • Qualitative Research