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Best Practice in Provider/Parent Interaction.

Betty Davies1, Rose Steele2, Guenther Krueger3

  • 11 University of Victoria, Victoria, British Columbia, Canada.

Qualitative Health Research
|August 26, 2016
PubMed
Summary
This summary is machine-generated.

Best practice health care providers (HCPs) caring for children with complex conditions excel through shared worldviews, values, and authentic engagement. Their direct care, connecting behaviors, and attunement lead to positive outcomes for families and professionals.

Keywords:
Canadacommunicationgrounded theorypalliative carepediatricspractice guidelinesqualitative analysisrelationships, patient-provider

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Area of Science:

  • Pediatric healthcare
  • Grounded theory research
  • Family-centered care

Background:

  • Children with complex, chronic, life-threatening conditions require specialized care.
  • Understanding best practices in health care provider (HCP) and parent interactions is crucial.
  • Existing research may not fully capture the nuances of optimal HCP-parent engagement.

Purpose of the Study:

  • To develop a conceptualization of best practice health care providers (BPHCPs) interacting with parents of children with complex, chronic, life-threatening conditions.
  • To identify the characteristics and behaviors of BPHCPs.
  • To understand the impact of BPHCPs on parents and HCPs.

Main Methods:

  • A 3-year prospective grounded theory study.
  • Semistructured interviews with 34 parents and 80 health care professionals (HCPs).
  • 88 observation periods of HCP/parent interactions in three pediatric settings.

Main Results:

  • BPHCPs demonstrated a shared worldview, valuing equity, family-centered care, and integrity.
  • Key behaviors included direct care, connecting actions, and exquisite attunement to the immediate situation.
  • These practices resulted in positive outcomes for both parents and HCPs.

Conclusions:

  • Focusing on what HCPs do well reveals that optimal practice is achievable and recognized.
  • Findings offer insights into effective strategies for engaging families in pediatric complex care.
  • Recommendations are provided for practice and professional education to enhance HCP performance.