Feedback on doctors’ performance from parents and carers of children: a national pilot study

McGraw, Mary; Fellows, Sarah; Long, Andrew; Millar, Hilary E. C.; Muir, G; Thomson, A. P. J.; Uddin, Shahir; Watt, J. C.; Williams, Sian

doi:10.1136/adc.2010.203174

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…De modo geral, os serviços de saúde têm sido bem avaliados pelos cuidadores (Hart, Kelleher, Drotar, & Scholle, 2007;McGraw et al, 2012;B. Young, Ward, Forsey, Gravenhorst, & Salmon, 2011a).…”

Section: Efeitos Da Comunicação Sobre a Vivência Da Tríade Cuidadoresunclassified

“…A comunicação em saúde pode ser caracterizada como um processo relacional, embasado em fatores culturais e sócio-históricos, em que informações e sua compreensão são compartilhadas entre, pelo menos, duas pessoas, considerando que na assistência pediátrica este processo é caracterizado por uma interação em tríades médico-acompanhante-paciente (Aburn & Gott, 2011;Gabe, Olumide, & Bury, 2004;Howells, Davies, & Silverman, 2006;Howells & Lopez, 2008;McGraw et al, 2012;Nobile & Drotar, 2003;Sobo, 2004;Tates & Meeuwesen, 2001).…”

Section: Introductionunclassified

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Comunicação triádica em pediatria: revisão de literatura

Kohlsdorfi

Costa

2016

Temas Psicol.

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ResumoA comunicação triádica em pediatria tem sido foco de pesquisa nos últimos 20 anos, considerando a relevância de compreender este processo para melhorar a assistência em saúde a crianças e adolescentes. Esta revisão sistemática de literatura teve como objetivo analisar 118 trabalhos sobre este tema, publicados entre 2000 e 2012. Os resultados mostram distribuição regular dos estudos ao longo do período, com prevalência de pesquisas em caráter descritivo e com metodologia quantitativa. A literatura enfatiza que a comunicação promove melhores níveis de adesão aos cuidados, melhoria de sintomas e respostas clínicas, comportamentos colaborativos e adaptação ao tratamento, contudo a focalização de habilidades comunicativas triádicas durante a graduação profi ssional é insufi ciente. Destaca-se que a criança é excluída da interação e as demandas individuais por informação devem ser prioridade. São necessários mais estudos sobre intervenções psicossociais e em caráter longitudinal, que possam contribuir para a compreensão do processo de comunicação em pediatria.Palavras-chave: Revisão de literatura, comunicação pediátrica, relação terapêutica. Triadic communication in Pediatrics:Literature review AbstractTriadic communication in pediatrics has been focused in the last 20 years, considering the relevance of understanding this process in order to improve health assistance to children and adolescents. The main purpose of this systematic literature review was to analyze 118 papers related to this theme, published between 2000 and 2012. Results show a regular distribution of studies along this period, with prevalence of descriptive researches that included quantitative methodology. Literature emphasizes that communication promotes better adherence to healthcare, improvement in symptoms and clinical responses, collaborative behaviors and adaptation to treatment, however the focus on triadic communicative skills during graduation is not suffi cient. The child is excluded from the interaction and tailored demands for information must be a priority. More studies are needed, concerning psychosocial interventions in longitudinal design, which may contribute to understand communicative processes in pediatric settings.

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Section: Efeitos Da Comunicação Sobre a Vivência Da Tríade Cuidadoresunclassified

Section: Introductionunclassified

Comunicação triádica em pediatria: revisão de literatura

Kohlsdorfi

Costa

2016

Temas Psicol.

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“…Having already demonstrated that the Paediatric Carers of Children Feedback (PaedCCF) tool is reliable and valid in a national pilot study with consultant paediatricians1 the aim of this second pilot was to determine if the tool is also useful with SSASG doctors not on the specialist register.…”

Section: Aimsmentioning

confidence: 99%

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Methods Self-selecting participants were each sent 35 forms to be distributed locally to carers of children for completion following outpatient consultations. RCPCH-analysed feedback returned to doctors included self assessment scores, carer scores, and overall cohort scores for each question.

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confidence: 99%

Feedback on paediatricians' performance from parents and carers: SSASG pilot

et al. 2012

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Aims Having already demonstrated that the Paediatric Carers of Children Feedback (PaedCCF) tool is reliable and valid in a national pilot study with consultant paediatricians 1 the aim of this second pilot was to determine if the tool is also useful with SSASG doctors not on the specialist register. Methods Self-selecting participants were each sent 35 forms to be distributed locally to carers of children for completion following outpatient consultations. RCPCH-analysed feedback returned to doctors included self assessment scores, carer scores, and overall cohort scores for each question. Qualitative comments were also included. Paediatricians' views on feasibility were sought before and after receiving feedback by online survey. Results 58 consultants returned 1512 forms (mean 26 per doctor). All doctors scored highly (mean ratings >4.1 out of 5). Aggregate whole-instrument rating was 4.42 (SD = 0.63). Self assessment scores (mean 3.71, SD 0.45) were lower than carer scores (mean 4.42, SD 0.63) p<0.001. White doctors scored more highly than non white doctors (p<0.001) but the difference in the mean was small. Carers who had seen the doctor more than 10 times rated doctors higher than those that had seen the doctor 1-4 times (p<0.001); scores across individual questions were highly correlated (reliability of 0.97 using Cronbach's Alpha) which justifi es the use of an aggregate score. Fewer than 25 consultation ratings were needed for good reliability (D-study). 93.4% of consultants found the tool acceptable as evidence for revalidation. Use of pre-paid envelopes assisted some doctors but concerns continue to be expressed about need for administrative support for a paper based feedback tool. Conclusion This second pilot extends the range of the use of PaedCCF as evidence to support revalidation. Data from this pilot has also allowed a revision of the number of forms required for reliability to be reduced to 20.

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“…In some cases of health services, such as pediatric assistance, communication occurs necessarily between the health professional, patient and caregiver, a triadic interaction that requires specific abilities from pediatricians (Gabe, Olumide, & Bury, 2004;Howells, Davies, & Silverman, 2006;Howells & Lopez, 2008;McGraw et al, 2012;Nobile & Drotar, 2003;Tates & Meeuwesen, 2001). Although children's participation has been increasing, these patients remain excluded from interaction and their participation is restricted to 2 to 14% of the communicative process (Tates & Meeuwesen, 2001) during small talk or when providing basic information (Coyne, 2008;Hallström, 2004;Nobile & Drotar, 2003;Nova, Vegni, & Moja, 2005;Rotenberg et al, 2008;Tates, Elbers, Meeuwesen, & Bensing, 2002a;Tates, Meeuwesen, Elbers, & Bensing, 2002b;Van Dulmen, 2004;Van Dulmen & Holl, 2000;Vaknin & Zisk-Rony, 2010;Wissow & Kimel, 2002).…”

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confidence: 99%

Effects of pre-consultation lists on the communicative behavior of children with cancer and their caregivers

Kohlsdorf

Costa

Marques

2016

Estud. psicol. (Campinas)

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This cross-sectional study present effects of pre-consultation lists on caregivers' and children's communicative behavior. Thirty-two dyads caregiver-child took part in this research, divided in three groups concerning the study design: Baseline 1, Intervention phase, and Baseline 2. Children and caregivers were individually interviewed before consultations on pediatric cancer treatment, in order to list doubts, expectations, and estimated issues to the medical visit. These themes were written down on a sheet of paper, attached to the child´s medical record cover, and would then be used as a memo in the following consultation. Results show that pre-consultation lists produced no effects on children's behavior, however the procedure was associated to specific doubts discussed by caregivers regarding dietary recommendations, coping with side effects, child development, biological aspects of cancer, and school activities. This study presents a low cost procedure that may contribute to tailor communication in pediatric settings.

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Feedback on doctors’ performance from parents and carers of children: a national pilot study

Abstract: National delivery of a valid and reliable method of carer feedback is feasible. The scores received and acceptability in these self-selected doctors was high. Confounding variables may influence feedback, so guidance on interpretation may be needed.

Cited by 14 publications

References 17 publications

Comunicação triádica em pediatria: revisão de literatura

Comunicação triádica em pediatria: revisão de literatura

Feedback on paediatricians' performance from parents and carers: SSASG pilot

Effects of pre-consultation lists on the communicative behavior of children with cancer and their caregivers

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