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.
Abstract

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