Words matter: exploring communication between parents and neonatologists.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
received:
20
07
2021
accepted:
01
12
2021
revised:
16
11
2021
pubmed:
16
1
2022
medline:
14
6
2022
entrez:
15
1
2022
Statut:
ppublish
Résumé
To evaluate how neonatologists and NICU parents perceive communication in the NICU. A mixed-methods approach using an online survey and three focus groups with NICU parents and neonatologists, utilizing videos of simulated conversations between a neonatologist and mother. A total of 72 participants responded to the online survey. Parents ranked the invasiveness of common NICU clinical procedures differently than the neonatologist standard but assessed the quality of the simulated conversation similarly. A total of 13 parents and 6 physicians participated in the focus groups. Major themes from both neonatologist and parent focus groups were the impact of making a connection with the parents, the importance of making decisions yet not making assumptions based on the divergent use of language by neonatologists and parents, and providing hope. Parents and neonatologists differ in their perception of key aspects of NICU language use and communication but also agree on many aspects.
Identifiants
pubmed: 35031688
doi: 10.1038/s41372-021-01293-2
pii: 10.1038/s41372-021-01293-2
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
745-751Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.
Références
Ely DM, Driscoll AK. Infant mortality in the United States, 2017: data from the period linked birth/infant death file. Natl Vital- Stat Rep. 2019;68:1–20.
pubmed: 32501206
Harrison W, Goodman D. Epidemiologic trends in neonatal intensive care, 2007–2012 | JAMA Pediatrics. JAMA Network. 2015;169:855–62.
Del Fabbro A, Cain K. Infant mental health and family mental health issues. Newborn Infant Nurs Rev. 2016;16:281–4. https://doi.org/10.1053/j.nainr.2016.09.020 .
doi: 10.1053/j.nainr.2016.09.020
Alkozei A, McMahon E, Lahav A. Stress levels and depressive symptoms in NICU mothers in the early postpartum period. J Matern Fetal Neonatal Med. 2014;27:1738–43.
doi: 10.3109/14767058.2014.942626
Aftyka A, Rybojad B, Rozalska I, Rzonca P, Humeniuk E. Post-traumatic stress disorder in parents of children hospitalized in the neonatal intensive care unit (NICU): Medical and demographic risk factors. Psychiatr Danubina. 2014;26:347–52.
Gonya J, Nelin LD. Factors associated with maternal visitation and participation in skin-to-skin care in an all referral level IIIc NICU. Acta Paediatr. 2013;102:e53–56.
doi: 10.1111/apa.12064
Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal intensive care unit: environmental stressors and supports. Int J Environ Res Public Health. 2018;15:60.
doi: 10.3390/ijerph15010060
Enke C, Oliva y Hausmann A, Miedaner F, Roth B, Woopen C. Communicating with parents in neonatal intensive care units: the impact on parental stress. Patient Educ Counseling. 2017;100:710–9.
doi: 10.1016/j.pec.2016.11.017
Heydarpour S, Keshavarz Z, Bakhtiari M. Factors affecting adaptation to the role of motherhood in mothers of preterm infants admitted to the neonatal intensive care unit: a qualitative study. J Adv Nurs. 2017;73:138–48.
doi: 10.1111/jan.13099
Labrie NHM, van Veenendaal NR, Ludolph RA, Ket JCF, van der Schoor SRD, van Kempen AAMW. Effects of parent-provider communication during infant hospitalization in the NICU on parents: a systematic review with meta-synthesis and narrative synthesis. Patient Educ Couns 2021;104:1526–52.
doi: 10.1016/j.pec.2021.04.023
Slomian J, Honvo G, Emonts P, Reginster JY, Bruyère O. Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health (Lond). 2019;15:1–55.
Fallon V, Groves R, Halford JC, Bennett KM, Harrold JA. Postpartum anxiety and infant-feeding outcomes. J Hum Lact. 2016;32:740–58.
doi: 10.1177/0890334416662241
O’Brien K, Bracht M, Macdonell K, McBride T, Robson K, O’Leary L, et al. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit. BMC Pregnancy Childbirth. 2013;13:1–8.
doi: 10.1186/1471-2393-13-113
Weiss S, Goldlust E, Vaucher YE. Improving parent satisfaction: an intervention to increase neonatal parent-physician communication. J Perinatol. 2010;30:425–30.
doi: 10.1038/jp.2009.163
Berman L, Raval MV, Ottosen M, Mackow AK, Cho M, Goldin AB. Parent perspectives on readiness for discharge home after neonatal intensive care unit admission. J Pediatr. 2019;205:98–104.
doi: 10.1016/j.jpeds.2018.08.086
Lorié ES, Wreesmann WW, van Veenendaal NR, van Kempen AAMW, Labrie NHM. Parents’ needs and perceived gaps in communication with healthcare professionals in the neonatal (intensive) care unit: a qualitative interview study. Patient Educ Counseling. 2021;104:1518–25.
doi: 10.1016/j.pec.2020.12.007
Wigert H, Dellenmark Blom M, Bry K. Parents’ experiences of communication with neonatal intensive-care unit staff: an interview study. BMC Pediatr. 2014;14:304.
doi: 10.1186/s12887-014-0304-5
Guttmann KF, Orfali K, Kelley AS. Measuring communication quality in the Neonatal Intensive Care Unit. Pediatr Res. 2021. https://doi.org/10.1038/s41390-021-01522-6 . Online ahead of print.
Lacey J, Corbett J, Forni L, Hooper L, Hughes F, Minto G, et al. A multidisciplinary consensus on dehydration: definitions, diagnostic methods and clinical implications. Ann Med. 2019;51:232–51.
doi: 10.1080/07853890.2019.1628352
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3:77–101.
doi: 10.1191/1478088706qp063oa
Immy H. Qualitative research in health care. McGraw-Hill Educ (UK). 2005;p90-102:147–65.
Umberger E, Canvasser J, Hall SL. Enhancing NICU parent engagement and empowerment. Semin Pediatr Surg. 2018;27:19–24.
doi: 10.1053/j.sempedsurg.2017.11.004
Gale G, Franck LS, Kools S, Lynch M. Parents’ perceptions of their infant’s pain experience in the NICU. Int J Nurs Stud. 2004;41:51–8.
doi: 10.1016/S0020-7489(03)00096-8
Clark OE, Fortney CA, Dunnells ZDO, Gerhardt CA, Baughcum AE. Parent perceptions of infant symptoms and suffering and associations with distress among bereaved parents in the NICU. J Pain Symptom Manag. 2021;S0885-3924:00209–8.
Wreesmann WW, Lorié ES, van Veenendaal NR, van Kempen AAMW, Ket JCF, Labrie NHM. The functions of adequate communication in the neonatal care unit: A systematic review and meta-synthesis of qualitative research. Patient Educ Counseling. 2020;104:1505–17.
doi: 10.1016/j.pec.2020.11.029
Drago M, Lorenz JM, Hammond J, Hardart GE, Morris MC. How to hold an effective NICU family meeting: capturing parent perspectives to build a more robust framework. J Perinatol. 2021;41:2217–24. https://doi.org/10.1038/s41372-021-01051-4 . Epub 2021 Apr 21.
Boss RD, Urban A, Barnett MD, Arnold RM. Neonatal critical care communication (NC3): training NICU physicians and nurse practitioners. J Perinatol. 2013;33:642–6.
doi: 10.1038/jp.2013.22
Grobman WA, Kavanaugh K, Moro T, DeRegnier R-A, Savage T. Providing advice to parents for women at acutely high risk of periviable delivery. Obstet Gynecol. 2010;115:904–9.
doi: 10.1097/AOG.0b013e3181da93a7
Guillén Ú, Mackley A, Laventhal N, Kukora S, Christ L, Derrick M, et al. Evaluating the use of a decision aid for parents facing extremely premature delivery: a randomized trial. J Pediatr. 2019;209:52–60.e1.
doi: 10.1016/j.jpeds.2019.02.023
Muthusamy AD, Leuthner S, Gaebler-Uhing C, Hoffmann RG, Li S-H, Basir MA. Supplemental written information improves prenatal counseling: a randomized trial. Pediatrics 2012;129:e1269–74.
doi: 10.1542/peds.2011-1702
Arnolds M, Laventhal N. Perinatal counseling at the margin of gestational viability: where we’ve been, where we’re going, and how to navigate a path forward. J Pediatr. 2021;233:255–62.
doi: 10.1016/j.jpeds.2021.02.006
Drach LL. Communication between neonatologists and parents when prognosis is uncertain. J Perinatol. 2020;40:1412–22.
doi: 10.1038/s41372-020-0673-6
Gaucher N, Payot A. From powerlessness to empowerment: Mothers expect more than information from the prenatal consultation for preterm labour. Paediatr Child Health. 2011;16:638–42.
doi: 10.1093/pch/16.10.638
Jager S, Kavanaugh K, Hoffman S, Laitano T, Jeffries E, Tucker Edmonds B. Parents’ descriptions of neonatal palliation as a treatment option prior to periviable delivery. J Perinat Neonatal Nurs. 2020;34:178–85.
doi: 10.1097/JPN.0000000000000483
Madrigal VN, Carroll KW, Hexem KR, Faerber JA, Morrison WE, Feudtner C. Parental decision-making preferences in the pediatric intensive care unit. Crit Care Med. 2012;40:2876–82.
doi: 10.1097/CCM.0b013e31825b9151
Feudtner C, Morrison W. The darkening veil of “do everything. Arch Pediatr Adolesc Med. 2012;166:694.
doi: 10.1001/archpediatrics.2012.175
Quill TE, Arnold R, Back AL. Discussing treatment preferences with patients who want “everything”. Ann Intern Med. 2009;151:345–9.
doi: 10.7326/0003-4819-151-5-200909010-00010
French KB. Care of extremely small premature infants in the neonatal intensive care unit: a parent’s perspective. Clin Perinatol. 2017;44:275–82.
doi: 10.1016/j.clp.2017.01.008
Boss RD, Hutton N, Sulpar LJ, West AM, Donohue PK. Values parents apply to decision-making regarding delivery room resuscitation for high-risk newborns. Pediatrics 2008;122:583–9.
doi: 10.1542/peds.2007-1972
Kaemingk BD, Carroll K, Thorvilson MJ, Schaepe KS, Collura CA. Uncertainty at the limits of viability: a qualitative study of antenatal consultations. Pediatrics. 2021;147:e20201865. https://doi.org/10.1542/peds.2020-1865 . Epub 2021 Mar 3.