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Communication challenges: perioperative risks and care directives.

Victoria Habet1, Sarah A Teele

  • 1Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Current Opinion in Cardiology
|April 5, 2023
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Summary
This summary is machine-generated.

Effective communication is vital for children with heart disease. Research highlights the need for better clinician communication and shared decision-making strategies, especially regarding advance care planning.

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Area of Science:

  • Pediatric Cardiology
  • Medical Communication
  • Bioethics

Background:

  • Effective communication and shared decision-making are critical in managing pediatric congenital or acquired heart disease.
  • Despite significant challenges, research on communication strategies for perioperative risks and advance care planning in pediatric advanced heart disease remains limited.

Approach:

  • A comprehensive review of recent research (past 1.5 years) on communication and shared decision-making in pediatric advanced heart disease.
  • Analysis focused on parental and clinician perceptions of communication barriers and needs.

Key Points:

  • Research predominantly explores parental views on communication, with less focus on clinician perspectives.
  • Lack of trust between families and providers is a significant communication barrier identified by both groups.
  • Interprofessional needs and structured language for shared decision-making are key areas for improvement.

Conclusions:

  • Future research should address clinician discomfort in communication and conveying prognostic uncertainty.
  • Prioritizing interprofessional collaboration and developing structured communication frameworks are essential for enhancing shared decision-making in pediatric heart disease care.