Parental Perception of Risk Associated With Their Premature Infant

Fletcher, Laura; Pham, Tammy; Papaioannou, Helen; Spinazzola, Regina; Milanaik, Ruth; Thibeau, Shelley

doi:10.1097/anc.0000000000000378

Cited by 14 publications

(23 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 28 included articles, 2 were deemed to be low quality but were included because of lessons learned during their implementation. 30,31 Of the 26 remaining studies, 16 were deemed high quality 1,2,6,7,8,[10][11][12]14,18,[22][23][24][25][26][27][28] and 10 were considered good quality. 9,13,[15][16][17][19][20][21]26,29 Eight studies reported significant results related to increased communication, satisfaction, and compliance.…”

Section: Resultsmentioning

confidence: 99%

“…9,13,[15][16][17][19][20][21]26,29 Eight studies reported significant results related to increased communication, satisfaction, and compliance. 6,7,11,20,[22][23][24]28 In the examination of level of evidence, 16 articles were deemed to be level III, which includes nonexperimental studies, qualitative studies, and meta-synthesis. 7,9,10,12,[14][15][16][17][18][19][22][23][24][25]29,30 One study, a systematic review, was deemed to be level IV, which includes expert consensus in systematic reviews and clinical practice guidelines.…”

Section: Resultsmentioning

confidence: 99%

“…6,7,11,20,[22][23][24]28 In the examination of level of evidence, 16 articles were deemed to be level III, which includes nonexperimental studies, qualitative studies, and meta-synthesis. 7,9,10,12,[14][15][16][17][18][19][22][23][24][25]29,30 One study, a systematic review, was deemed to be level IV, which includes expert consensus in systematic reviews and clinical practice guidelines. 26 The remaining 11 studies were level V and included quality improvement The highest percentage of concern surrounded intravenous catheters (38%), medications (28%), and feeding (26%).…”

Section: Resultsmentioning

confidence: 99%

“…At follow-up appointments, 62% of parents could not report the corrected age of their child or anticipate developmental patterns. 23 Without a working understanding of their child's diagnosis before leaving the hospital, parents may seek health care information from less reliable sources and have heightened anxiety. Additionally, parental concerns did not often align with the diagnosis, suggesting a lack of knowledge related to the hospital admission.…”

Section: Provider Communicationmentioning

confidence: 99%

“…Additionally, parental concerns did not often align with the diagnosis, suggesting a lack of knowledge related to the hospital admission. 23 Parents of patients in the technology-dependent ICU often provide most of the care for their children. Parents are often very confident in their ability to care for their children in this area.…”

Section: Provider Communicationmentioning

confidence: 99%

See 4 more Smart Citations

Communication in Pediatric Critical Care Units: A Review of the Literature

Hallman

Bellury

2020

Critical Care Nurse

View full text Add to dashboard Cite

Topic Current communication styles in pediatric critical care units do not often consider the needs of providers, patients, or family members. Clinical Relevance The Child Hospital Consumer Assessment of Healthcare Providers and Systems score has begun real-world testing and soon will be mandatory and tied to reimbursement. Poor communication in pediatric critical care units can lead to reduced continuity of care, escalated or unnecessary care, and poor outcomes for patients and hospitals. Improving communication in pediatric critical care units is imperative. Purpose of Paper Extant literature was reviewed to assess communication in pediatric critical care from the provider, parent, and patient perspectives. Communication tools were also reviewed. Content Covered Twenty-eight articles met inclusion criteria and were analyzed according to study focus (provider, parent/caregiver, patient, or tool). This review links communication to outcomes related to providers, parents, and patients. Current tools are reviewed to evaluate their effectiveness in addressing communication barriers and to guide future research in communication. Findings indicate that effective communication is challenging in intensive care units despite robust evidence that effective communication improves patient outcomes and quality metrics. Repeated and varied forms of communication, especially written reinforced with verbal communication, seem to have the strongest effect and show promising results. Common barriers nurses face on their units are identified, and solutions are suggested. This review adds to current knowledge by linking communication to measurable outcomes and examining communication barriers and needs specific to pediatric critical care populations from the provider, parent, and patient perspectives.

show abstract