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Published on: August 1, 2019
Evaluating the feasibility of a parent-briefing intervention in a pediatric acute care setting
Karen LeGrow1, Ellen Hodnett, Robyn Stremler
1Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.
Insights
This study tested a parent-briefing intervention for hospitalized children with complex needs. The intervention was feasible and favorably received by parents and nurses, though physician feedback was mixed.
Area of Science:
- Pediatric healthcare communication
- Complex care coordination
- Patient and family engagement
Background:
- Hospitalized children with complex healthcare needs often require coordinated communication between parents and clinical teams.
- Effective communication strategies are crucial for shared decision-making and positive patient outcomes.
- Assessing the feasibility of novel interventions is a critical first step in improving care delivery.
Purpose of the Study:
- To evaluate the feasibility of a parent-briefing intervention designed for parents of hospitalized children with complex healthcare needs.
- To gather preliminary data on the acceptability and perceived utility of the intervention from both parents and clinicians.
Main Methods:
- A phase I, single-group, posttest feasibility study was conducted.
- Participants included 18 physicians, 25 nurses, and 31 parents.
- Feasibility was assessed via questionnaires completed by parents and clinicians following the briefings.
Main Results:
- A total of 68 parent-briefing sessions were conducted.
- Parents and nurses reported favorable experiences with the intervention.
- Physicians' evaluations of the briefings were mixed, indicating areas for potential refinement.
Conclusions:
- The parent-briefing intervention demonstrates feasibility for use with parents of hospitalized children with complex healthcare needs.
- Further research is warranted to explore the impact of structured communication interventions on parent-professional decision-making.
- Investigating the effects on shared decision-making practices is essential for optimizing care for this vulnerable population.
Purpose:
The purpose of this study was to test the feasibility of a parent-briefing intervention for parents of hospitalized children with complex healthcare needs.
Design And Methods:
A phase I, single-group, posttest study. There were 18 physicians, 25 nurses, and 31 parents who participated in the study. Participants were asked to sit while carrying out the briefings with parents. Parents and clinicians completed a feasibility questionnaire post briefings.
Results:
Sixty-eight briefings were carried out. Parents and nurses evaluated the briefings in a favorable manner, whereas physicians' ratings were mixed.
Practice Implications:
Further inquiry is recommended to understand the effects of a structured communication intervention on parent-professional decision-making practices.

