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| Research article summary (published 13 Jan 2009): |
Analysis of enacted difficult conversations in neonatal intensive care.
Full Abstract
OBJECTIVE: To analyze the communicative contributions of interdisciplinary professionals and family members in enacted difficult conversations in neonatal intensive care. STUDY DESIGN: Physicians, nurses, social workers, and chaplains (n=50) who attended the Program to Enhance Relational and Communication Skills, participated in a scenario of a preterm infant with severe complications enacted by actors portraying family members. Twenty-four family meetings were videotaped and analyzed with the Roter Interaction Analysis System (RIAS). RESULT: Practitioners talked more than actor-family members (70 vs 30%). Physicians provided more biomedical information than psychosocial professionals (P<0.001), and less psychosocial information than nurses, and social workers and chaplains (P<0.05; P<0.001). Social workers and chaplains asked more psychosocial questions than physicians and nurses (MD=P<0.005; RN=P<0.05), focused more on family's opinion and understanding (MD=P<0.01; RN=P<0.001), and more frequently expressed agreement and approval than physicians (P<0.05). No differences were found across disciplines in providing emotional support. CONCLUSION: Findings suggest the importance of an interdisciplinary approach and highlight areas for improvement such as using silence, asking psychosocial questions and eliciting family perspectives that are associated with family satisfaction.
Author information
Author/s: Lamiani, G (G); Meyer, E C (EC); Browning, D M (DM); Brodsky, D (D); Todres, I D (ID);
Affiliation: Institute for Professionalism and Ethical Practice, Children's Hospital, Boston, MA, USA. Giulia.lamiani(-atsign-)unimi.it
Journal and publication information
Publication Type: Journal Article
Journal: Journal of perinatology : official journal of the California Perinatal Association (J Perinatol), published in United States. (Language: eng)
Reference: 2009-Apr; vol 29 (issue 4) : pp 310-6
Dates: Created 2009/03/27; Completed 2009/07/30;
PMID: 19148109, status: MEDLINE (last retrieval date: 8/20/2009, IMS Date: )
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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