Communication between neonatologists and parents when prognosis is uncertain
Communication between neonatologists and parents when prognosis is uncertain
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DOI：
10.1038/s41372-020-0673-6
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发表时间：
2020-05-07
影响因子：
2.9
通讯作者：
Sibinga, Erica M. S.
中科院分区：
文献类型：
--
作者：
Drach, Laura L.;Hansen, Debra A.;Sibinga, Erica M. S.
Objective When an infant's prognosis is uncertain, communication between neonatologists and parents surrounding goals of care and decision-making can be challenging. This qualitative study explored communication between neonatologists and parents to discover qualities which may enhance or impede parent-clinician partnership under such difficult circumstances. Study design Guided by the National Cancer Institute (NCI) Patient Centered Communication framework, semi-structured individual interviews were conducted and analyzed regarding neonatologist and parent perceptions of their communication. Subjects consisted of nine dyads of neonatologists and English-speaking parents whose infant had an uncertain prognosis. Results Parents were overall satisfied with neonatologists' communications concerning their infant's uncertain trajectory. Nonetheless, both experienced challenges and distress during communication, impeding collaboration and engagement. Conclusions Families and neonatologists value principles of patient centered communication but report challenges implementing this practice. Incorporating a multidisciplinary approach in settings of prognostic uncertainty to foster patient centered communication, may enhance communication surrounding NICU care.
