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Communication in Pediatric Oncology: A Qualitative Study.
Bryan A Sisk1, Annie Friedrich2, Lindsay J Blazin3
1Division of Hematology and Oncology, Department of Pediatrics and siskb@wustl.edu.
Pediatrics
|August 22, 2020
Summary
Parents of seriously ill children need effective clinician communication. This study identified 8 key communication functions in pediatric oncology, including supporting hope and providing validation, crucial for improving care.
Area of Science:
- Pediatric Oncology Communication
- Childhood Cancer Care
- Parent-Clinician Relationships
Background:
- Effective communication is vital for parents of seriously ill children.
- Previous research has not clearly defined communication functions in pediatric oncology.
- This study addresses the gap by exploring parental perspectives on communication needs.
Purpose of the Study:
- To identify and define the essential functions of communication in pediatric oncology from the perspective of parents.
- To establish a framework for understanding and meeting parental communication needs during childhood cancer.
- To inform clinical practice and future research in pediatric oncology communication.
Main Methods:
- Conducted semistructured interviews with 78 parents of children with cancer.
- Included parents at treatment, survivorship, or bereavement stages.
- Analyzed interview transcripts using inductive and deductive coding.
Main Results:
- Identified 8 distinct communication functions in pediatric oncology.
- Six functions align with adult oncology: relationship building, information exchange, self-management, decision-making, uncertainty management, and emotional response.
- Two novel functions identified: providing validation and supporting hope.
Conclusions:
- Parent interviews reveal 8 critical communication functions in pediatric oncology.
- This framework can help clinicians better meet the communication needs of parents facing childhood cancer.
- Future research should focus on measuring the fulfillment of these functions and developing targeted interventions.
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