Related Experiment Video
Updated: Feb 4, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Challenges in managing parental expectations in paediatric care
Pascale du Pré1, Joe Brierley1
1Critical Care & Paediatric Bioethics Centre, Great Ormond St Hospital, London, UK.
Insights
Managing parental expectations in pediatric care is crucial, especially with complex treatments and informed parents. Prioritizing the child
Area of Science:
- Pediatric Healthcare
- Medical Ethics
- Child Welfare
Background:
- Increasingly complex pediatric treatments and higher burdens of care.
- Societal shifts, information access, and reduced medical paternalism empower patients.
- Growing diversity in parental expectations due to population changes and populism.
Purpose of the Study:
- To review challenges in managing parental expectations in UK pediatric care.
- To explore issues surrounding disagreements and conflict in pediatric healthcare.
- To emphasize adherence to the child's best interests in decision-making.
Main Methods:
- Literature review of challenges in pediatric care.
- Analysis of evolving parent-professional relationships.
- Examination of ethical considerations in pediatric decision-making.
Main Results:
- Controversial cases often overshadow positive parent-professional relationships.
- Medical advancements increase treatment burdens alongside patient empowerment.
- Varied parental expectations complicate care, necessitating empathetic communication.
Conclusions:
- Effective communication and empathy are key to managing parental expectations.
- Adherence to the UN Convention on the Rights of the Child is paramount.
- Prioritizing the child's best interests remains the core principle in pediatric care.
Abstract:
Given the recent number of controversial cases featured in the media, it is timely to consider the management of parental expectations in paediatric care. What is sadly overlooked in the controversy is the usual excellent working relationship formed by treating child health professionals, parents (those with parental responsibility) and children themselves in tackling really tough situations. We are able to do more and more to tackle previously deadly diseases, and yet the burden of our treatments is undeniably higher. At the same time, social changes and ready access to information have led to a necessary reduction in medical paternalism, and more empowered and knowledgeable patients. We review how things have become very challenging in this arena in the UK over the last decades, and consider the issues surrounding disagreements and conflict. On the background of population shifts, religious diversity and populism, parental expectations now vary dramatically given the same situation. The challenge is still met by communicating, listening with empathy but finally by adhering to the basic tenet of Article 3 of the UN Convention of the Rights of the Child - 'The best interests of children must be the primary concern in making decisions that may affect them.'
More Related Videos
Related Concept Videos
Parental Care
Expected Value
Parenting Styles
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Relationship with Parents: Attachment
Determination of Expected Frequency

