Observations of health-care professionals sharing and contributing responsibility in paediatric caring situations

Eva K Mårtenson1, Astrid M Fägerskiöld, Carina M Berterö

  • 1Department of Medical and Health Sciences, Division of Nursing Science, Faculty of Health Sciences, Linköpings University, Jönköping, Sweden.evama@adamomail.se

Insights

Healthcare professionals balance shared responsibility when exchanging information with minors and parents in pediatric care. This study explores communication strategies to improve patient-centered care and professional skills.

Area of Science:

  • Pediatric Healthcare
  • Communication in Medicine
  • Health Professional Education

Background:

  • Effective information exchange between healthcare professionals and pediatric patients/guardians is crucial for quality care.
  • Understanding the nuances of these interactions can improve patient outcomes and professional practice.

Purpose of the Study:

  • To identify and conceptualize health care professionals' information exchanges with minors and/or their parents/guardians in pediatric settings.
  • To explore the core concerns and related categories influencing these communication dynamics.

Main Methods:

  • Grounded theory and constant comparative analysis were employed.
  • Data collection involved participant observation, medical record review, and follow-up interviews.
  • The study was conducted in three university hospital pediatric outpatient units with 15 participating health care professionals.

Main Results:

  • The core category identified was 'sharing and contributing responsibility'.
  • Six interrelated categories emerged: interchanging knowledge, relationship-creating chat, calculated confirming, encouraging, dichotomous talking, and situation-related effects.
  • The study highlighted the complex interaction between healthcare professionals and pediatric patients/families.

Conclusions:

  • Findings provide insight into the elements of information exchange in pediatric care settings.
  • The research can inform the development of improved communication strategies for healthcare professionals.
  • Enhanced communication skills can lead to better patient care and professional development.

Related Concept Videos

Nurses' Legal Responsibilities II01:23

Nurses' Legal Responsibilities II

Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Accountability and Responsibility of a Nurse II01:09

Accountability and Responsibility of a Nurse II

Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort...
Accountability and Responsibility of a Nurse I01:30

Accountability and Responsibility of a Nurse I

Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Ethical Standards II01:23

Ethical Standards II

Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...