“To Be a Phenomenal Doctor You Have To Be the Whole Package”: Physicians' Interpersonal Behaviors during Difficult Conversations in Pediatrics

Abstract

To increase parental satisfaction and enhance the parent-physician therapeutic partnership, we recommend that physicians consider attending to the 11 interpersonal behaviors described in this manuscript, and that educational programs pay particular attention to these behaviors when training health care providers in the communication of bad news.

How to Open the Door: A Qualitative, Observational Study on Initiating Advance Care Discussions with Parents in Pediatric Palliative Care

“…41 Showing parents empathy and reacting to their emotions is helpful when it comes to emotionally difficult issues. 42–44 Our data indicate that observing the parents' verbal and nonverbal expressions when life-sustaining treatments were brought up proved to be a good indicator for their readiness and willingness to talk about death in initial ACDs.…”

How to Open the Door: A Qualitative, Observational Study on Initiating Advance Care Discussions with Parents in Pediatric Palliative Care

“…41 Showing parents empathy and reacting to their emotions is helpful when it comes to emotionally difficult issues. 42–44 Our data indicate that observing the parents' verbal and nonverbal expressions when life-sustaining treatments were brought up proved to be a good indicator for their readiness and willingness to talk about death in initial ACDs.…”

Parental Perspectives on Life-Altering News in Emergency Settings

“…Parents in all settings value comprehensive information, 12,13,[24][25][26][27][28] compassion, 24,25,[29][30][31] and privacy, 26,32,33 while expressing a strong emotional response 14,29,34,35 and a need for control. 27,36,37 Our study provides new insight into the factors influencing parental perspectives, how the lens and ED encounter combine to shape a response, and the notion of long-term impacts stemming from the experience. To our knowledge, the process of how perspectives are developed before the disclosure, and the factors involved, have had limited evaluation in the literature, with no reference to the themes identified by our participants.…”

Nurse’s Perspective in the Implementation of Family Centered Care in PICU NICU

“…This can be well established if the communication is continuous with each other so that parents' concerns about the child's condition are reduced and minimize errors in providing care (Franco A Carnevale et al, 2016). Interpersonal that nurses must have to increase parental satisfaction and improve the therapeutic relationship between nurses and parents when children are cared for in critical rooms, namely caring for children sincerely, respecting parents' knowledge about children, providing mental support for parents, appropriate body language, thoroughness, responding well to complaints, accountability, willingness to accept questions, and empathy with children's condition (Orioles et al, 2013). The quality of communication between medical personnel and parents when children are cared for in critical rooms can be carried out well with the support (29).…”

How to Open the Door: A Qualitative, Observational Study on Initiating Advance Care Discussions with Parents in Pediatric Palliative Care

“…41 Showing parents empathy and reacting to their emotions is helpful when it comes to emotionally difficult issues. 42–44 Our data indicate that observing the parents' verbal and nonverbal expressions when life-sustaining treatments were brought up proved to be a good indicator for their readiness and willingness to talk about death in initial ACDs.…”

Parental Perspectives on Life-Altering News in Emergency Settings

“…Parents in all settings value comprehensive information, 12,13,[24][25][26][27][28] compassion, 24,25,[29][30][31] and privacy, 26,32,33 while expressing a strong emotional response 14,29,34,35 and a need for control. 27,36,37 Our study provides new insight into the factors influencing parental perspectives, how the lens and ED encounter combine to shape a response, and the notion of long-term impacts stemming from the experience. To our knowledge, the process of how perspectives are developed before the disclosure, and the factors involved, have had limited evaluation in the literature, with no reference to the themes identified by our participants.…”

Nurse’s Perspective in the Implementation of Family Centered Care in PICU NICU

“…This can be well established if the communication is continuous with each other so that parents' concerns about the child's condition are reduced and minimize errors in providing care (Franco A Carnevale et al, 2016). Interpersonal that nurses must have to increase parental satisfaction and improve the therapeutic relationship between nurses and parents when children are cared for in critical rooms, namely caring for children sincerely, respecting parents' knowledge about children, providing mental support for parents, appropriate body language, thoroughness, responding well to complaints, accountability, willingness to accept questions, and empathy with children's condition (Orioles et al, 2013). The quality of communication between medical personnel and parents when children are cared for in critical rooms can be carried out well with the support (29).…”

How to Open the Door: A Qualitative, Observational Study on Initiating Advance Care Discussions with Parents in Pediatric Palliative Care

“…41 Showing parents empathy and reacting to their emotions is helpful when it comes to emotionally difficult issues. 42–44 Our data indicate that observing the parents' verbal and nonverbal expressions when life-sustaining treatments were brought up proved to be a good indicator for their readiness and willingness to talk about death in initial ACDs.…”

Parental Perspectives on Life-Altering News in Emergency Settings

“…Parents in all settings value comprehensive information, 12,13,[24][25][26][27][28] compassion, 24,25,[29][30][31] and privacy, 26,32,33 while expressing a strong emotional response 14,29,34,35 and a need for control. 27,36,37 Our study provides new insight into the factors influencing parental perspectives, how the lens and ED encounter combine to shape a response, and the notion of long-term impacts stemming from the experience. To our knowledge, the process of how perspectives are developed before the disclosure, and the factors involved, have had limited evaluation in the literature, with no reference to the themes identified by our participants.…”

Nurse’s Perspective in the Implementation of Family Centered Care in PICU NICU

“…This can be well established if the communication is continuous with each other so that parents' concerns about the child's condition are reduced and minimize errors in providing care (Franco A Carnevale et al, 2016). Interpersonal that nurses must have to increase parental satisfaction and improve the therapeutic relationship between nurses and parents when children are cared for in critical rooms, namely caring for children sincerely, respecting parents' knowledge about children, providing mental support for parents, appropriate body language, thoroughness, responding well to complaints, accountability, willingness to accept questions, and empathy with children's condition (Orioles et al, 2013). The quality of communication between medical personnel and parents when children are cared for in critical rooms can be carried out well with the support (29).…”