Factors Associated With Parent-Perceived Miscommunication in the Pediatric Intensive Care Unit.

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE American Journal of Critical Care Pub Date : 2024-11-01 DOI:10.4037/ajcc2024596

Jesse R Wool, Jesse Chittams, Salimah Meghani, Wynne Morrison, Janet Deatrick, Connie M Ulrich

{"title":"Factors Associated With Parent-Perceived Miscommunication in the Pediatric Intensive Care Unit.","authors":"Jesse R Wool, Jesse Chittams, Salimah Meghani, Wynne Morrison, Janet Deatrick, Connie M Ulrich","doi":"10.4037/ajcc2024596","DOIUrl":null,"url":null,"abstract":"Background: Parents of children in pediatric intensive care units have varied communication experiences with health care professionals. Little is known about factors associated with parents' perceptions of miscommunication.Objective: To examine children's clinical and parents' demographic and psychosocial factors associated with perceptions of miscommunication in the pediatric intensive care unit.Methods: This study was a cross-sectional survey of parents of children admitted to the pediatric intensive care unit between January 1, 2018, and February 29, 2020, with a stay of greater than 24 hours.Results: Most of the 200 parent respondents were female (83.4%), White (71.4%), and non-Hispanic (87.9%); median age was 39 years (mean [SD], 40.2 [8.75] years); 17.6% were Black or African American. Among 210 children, mean (SD) age was 6.1 (6.02) years, mean (SD) stay was 4.5 (6.2) days, 38.6% were admitted because of respiratory illness, and the admission was the first for 51.0%. Of the parents, 16.5% reported miscommunication in the pediatric intensive care unit. In multivariable linear regressions, parents' stress (β = 0.286), parents' views of clinician communication (β = -0.400), parents' trust in physicians (β = -0.147), and length of stay (β = 0.122) accounted for 45% of the explained variance in parent-perceived miscommunication (R2 = 0.448, F = 41.19, P < .001).Conclusions: Parental stress and trust in physician scores were associated with perceived miscommunication. Further research is needed to understand the causes and consequences of miscommunication in order to support hospitalized children and their parents.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"33 6","pages":"402-409"},"PeriodicalIF":2.7000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4037/ajcc2024596","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Parents of children in pediatric intensive care units have varied communication experiences with health care professionals. Little is known about factors associated with parents' perceptions of miscommunication.

Objective: To examine children's clinical and parents' demographic and psychosocial factors associated with perceptions of miscommunication in the pediatric intensive care unit.

Methods: This study was a cross-sectional survey of parents of children admitted to the pediatric intensive care unit between January 1, 2018, and February 29, 2020, with a stay of greater than 24 hours.

Results: Most of the 200 parent respondents were female (83.4%), White (71.4%), and non-Hispanic (87.9%); median age was 39 years (mean [SD], 40.2 [8.75] years); 17.6% were Black or African American. Among 210 children, mean (SD) age was 6.1 (6.02) years, mean (SD) stay was 4.5 (6.2) days, 38.6% were admitted because of respiratory illness, and the admission was the first for 51.0%. Of the parents, 16.5% reported miscommunication in the pediatric intensive care unit. In multivariable linear regressions, parents' stress (β = 0.286), parents' views of clinician communication (β = -0.400), parents' trust in physicians (β = -0.147), and length of stay (β = 0.122) accounted for 45% of the explained variance in parent-perceived miscommunication (R2 = 0.448, F = 41.19, P < .001).

Conclusions: Parental stress and trust in physician scores were associated with perceived miscommunication. Further research is needed to understand the causes and consequences of miscommunication in order to support hospitalized children and their parents.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

儿科重症监护室中家长认为沟通不畅的相关因素。

背景：儿科重症监护室患儿的家长与医护人员的沟通经历各不相同。人们对家长认为沟通不畅的相关因素知之甚少：目的：研究儿科重症监护室中与沟通不畅相关的儿童临床和家长人口与社会心理因素：本研究是一项横断面调查，调查对象为2018年1月1日至2020年2月29日期间入住儿科重症监护室、住院时间超过24小时的患儿家长：在 200 名家长受访者中，大多数为女性（83.4%）、白人（71.4%）和非西班牙裔（87.9%）；年龄中位数为 39 岁（平均[标码]为 40.2 [8.75]岁）；17.6% 为黑人或非裔美国人。在 210 名儿童中，平均（标清）年龄为 6.1（6.02）岁，平均（标清）住院时间为 4.5（6.2）天，38.6% 的儿童因呼吸道疾病入院，51.0% 的儿童是首次入院。16.5%的家长表示在儿科重症监护室中沟通不畅。在多变量线性回归中，家长的压力（β = 0.286）、家长对临床医生沟通的看法（β = -0.400）、家长对医生的信任（β = -0.147）和住院时间（β = 0.122）占家长认为沟通不畅的解释变异的45%（R2 = 0.448，F = 41.19，P < .001）：结论：家长的压力和对医生的信任得分与感知到的沟通不畅有关。需要进一步研究了解沟通不畅的原因和后果，以便为住院儿童及其家长提供支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.

期刊最新文献

Association of Area Deprivation Index With Mortality in Critically Ill Adults With COVID-19. Chest Discomfort After Percutaneous Coronary Intervention. Clinical Pearls. Discussion Guide for the Wool Article. Factors Associated With Parent-Perceived Miscommunication in the Pediatric Intensive Care Unit.