Exploration of Parent-Provider Communication During Clinic Visits for Children With Chronic Conditions.
Barbara K Giambra, Stephen M Haas, Maria T Britto and 1 others
PMID 28866436WHAT IT FOUND
Provider teams in pediatric chronic disease clinics used more communication behaviors than parents, especially explaining and asking.
Parents also explained, asked, listened, and advocated, so they were not only receiving instructions.
Key findings
01Provider team members demonstrated more coded communication behaviors than parents, with 6,605 behaviors compared with 5,589 for parents.
02Explaining was the most frequent behavior for both groups, with providers using it 3,480 times and parents using it 2,320 times.
03Providers used negotiating roles more often than parents, 179 compared with 51, and nurses used this behavior most frequently among provider team members.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only a single nurse practitioner contributed recorded visits, so nurse practitioner communication cannot be compared reliably with physicians. The amount of time parents spent with each provider was not controlled statistically. Children’s own speech was excluded from the analysis. The study was done in a single hospital and in rheumatology and gastroenterology clinics, so it may not apply to other settings. Some speech was not coded because it was greetings, incomplete thoughts, or not related to care.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read these communication counts as evidence that better communication improved child care or satisfaction. The study counted speech during visits, not outcomes, and the time parents spent with each provider was not controlled.