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Updated: Aug 14, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A simple approach to improving patient satisfaction
M Jeffrey Maisels1, Elizabeth A Kring
1Department of Pediatrics, William Beaumont Hospital, Royal Oak, MI 48073, USA.
Insights
Improved communication significantly boosts family satisfaction with pediatric hospital care. Daily visits from a communicator/facilitator addressing family questions enhanced satisfaction with nursing and physician care.
Area of Science:
- Pediatric healthcare
- Patient-centered communication
- Family satisfaction studies
Background:
- Hospitalized children's families often experience communication challenges.
- Effective communication is crucial for family satisfaction with pediatric care.
- Current healthcare environments emphasize quality of care and patient experience.
Purpose of the Study:
- To evaluate the impact of a dedicated communicator/facilitator on family satisfaction.
- To assess improvements in satisfaction with nursing and physician care.
- To determine the effect of enhanced communication on overall family experience.
Main Methods:
- Randomized controlled trial involving families of children on a general pediatric service.
- Intervention group received daily visits from a communicator/facilitator.
- Control group received routine care; satisfaction assessed via questionnaire.
Main Results:
- Significant improvement in parent satisfaction across nursing, attending physician, and resident care (p<0.005).
- The communicator/facilitator role positively impacted overall family satisfaction.
- Addressing family questions, even non-medical ones, had a salutary effect.
Conclusions:
- Enhanced communication strategies, including a dedicated facilitator, significantly improve family satisfaction in pediatric hospital settings.
- Simple acts of communication and support positively influence the perception of care quality.
- This communication model warrants further evaluation by healthcare administrators to improve patient experience.
Abstract:
Improved communication with families may significantly increase their satisfaction with the care of their hospitalized child. The families of children admitted to a general pediatric service were randomly assigned to receive a daily visit from a communicator/facilitator whose purpose was to respond to any questions the family might have and, if necessary, to explain results of laboratory tests. Control families received routine care. At the time of discharge (study 1) or following discharge (study 2), the families were asked to complete a brief questionnaire regarding the quality of nursing care and physician care (both attending and resident physician). Responses were received from 76/83 (91.6%) in the study group and 75/83 (90.4%) in the control group. There was a highly significant improvement in parent satisfaction with all of the care delivered-nursing, attending physician, and resident care (p
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