Enhancing parent-provider communication in ambulatory pediatric practice

Enhancing parent-provider communication in ambulatory pediatric practice
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DOI:
10.1016/j.pec.2005.08.007
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发表时间:
2006-10-01
影响因子:
3.5
通讯作者:
Lewin, Linda
Lewin, Linda
中科院分区:
医学2区
文献类型:
--
作者:
Hart, Chantelle Nobile;Drotar, Dennis;Lewin, Linda

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Objective: To address the need for interventions to enhance parent-provider communication, the present study evaluated the effectiveness of a brief intervention to enhance interpersonal communication skills by pediatric and internal medicine/pediatric residents with parents of children seen in ambulatory practice.Methods: In a within-subjects, repeated measures research design, residents (N = 28) participated in a 1-1 1/2 h intervention designed to increase the use of effective communication skills with their patients' families (N = 92). Three pediatric visits (one prior to and two following the intervention) were audio-taped and coded using Roter's Interaction Analysis System. Parents' perceptions of residents' communication skills and satisfaction with care were gathered.Results: Residents used more effective interpersonal communication skills following the intervention (p < .05). Parent satisfaction with care also increased (p < .01) with parents reporting greater satisfaction with distress relief (p = .01) and communication following the intervention (p = .05). However, parents' perceptions of resident communication did not change over time.Conclusion: These findings suggest that a relatively brief intervention shows promise in improving the quality of care provided within a pediatric ambulatory care setting.Practice implications: Training residents to increase their use of praise, empathy, and collaboration with families can be done within a brief intervention and may be associated with increased parental satisfaction with care. (c) 2005 Elsevier Ireland Ltd. All rights reserved.