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Teamwork in prognostic communication: Addressing bottlenecks and barriers.
Bryan A Sisk1, Sarah Dobrozsi2, Jennifer W Mack3
1Division of Hematology and Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Pediatric Blood & Cancer
|January 23, 2020
Summary
Effective prognostic communication in pediatric oncology requires a team-based approach. This strategy ensures clear, redundant information delivery to families, improving care.
Area of Science:
- Pediatric Oncology
- Clinical Communication
- Family-Centered Care
Background:
- Prognostic communication is vital for family-centered care in pediatric oncology but is often inadequate.
- Current models often place responsibility solely on the primary oncologist, excluding nurses and creating communication gaps.
Purpose of the Study:
- To propose a multidisciplinary, team-based model for prognostic communication in pediatric oncology.
- To enhance the quality and consistency of prognostic disclosure to families.
Main Methods:
- The study proposes a framework for team-based prognostic communication.
- Key components include shared team mental models, distributed role assignment with redundancy, and communication milestone monitoring.
Main Results:
- The current individual-based model is insufficient and creates bottlenecks.
- A team-based approach offers a more robust and redundant system for communication.
Conclusions:
- Implementing a multidisciplinary team approach to prognostic communication is essential in pediatric oncology.
- This model aims to improve information sharing and support for families navigating complex diagnoses.
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