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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Core Functions of Communication in Pediatric Medicine: an Exploratory Analysis of Parent and Patient Narratives

Bryan A Sisk1, Annie B Friedrich2, Jessica Mozersky3

  • 1Division of Hematology and Oncology, Department of Pediatrics, Washington University School of Medicine, 4523 Clayton Avenue, Campus Box 8005, St. Louis, MO, 63110, USA. siskb@wustl.edu.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|December 20, 2018
PubMed

Insights

Pediatric communication functions align with adult oncology, with a newly identified function: "engendering solidarity and validation." This research clarifies essential communication in pediatric care for better patient outcomes.

Area of Science:

  • Pediatric Medicine
  • Bioethics
  • Communication Studies

Background:

  • Effective communication is vital for pediatric psychological well-being and health outcomes.
  • A lack of consensus exists regarding core communication functions specific to pediatrics.
  • Existing research on communication functions is primarily from adult oncology.

Purpose of the Study:

  • To determine if core communication functions from adult oncology are applicable to pediatric medicine.
  • To identify any unique core communication functions within pediatric medicine.
  • To analyze clinician behaviors impacting pediatric communication.

Main Methods:

  • Analysis of 36 narratives from parents and former pediatric patients.
  • Inclusion of narratives published in Narrative Inquiry in Bioethics.
  • Application of deductive and inductive coding to evaluate communication functions.

Main Results:

  • All previously identified core communication functions from adult oncology were present in pediatric narratives.
  • A novel core communication function, "engendering solidarity and validation," was identified in pediatric communication.
  • Specific clinician behaviors were found to facilitate or hinder these communication functions.

Conclusions:

  • Core communication functions established in adult oncology are relevant to pediatric medicine.
  • Pediatric communication encompasses a unique function: "engendering solidarity and validation."
  • Understanding and promoting these functions can improve pediatric patient-clinician interactions.

Keywords:
CommunicationPatient reported outcomesPediatrics

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