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• W2530104934 abstract "1. INTRODUCTIONChildren's hospitals face unique challenges trying to make practical improvements in their communication with children and family members. Effective communication is more crucial, and often more complicated than it is with adult patients, leading to unique situations that necessitate increased abilities. Studies (Farrell, 2001) have shown that poor delivery of message is common in pediatric settings, leading to high levels of parental dissatisfaction and may reflect lack of training health care professionals generally get for these situations. Verbal, nonverbal, and electronic communication abilities vary greatly among patients and physicians of diverse generations. Pediatric medical communication has particular aspects that differ in structure, format, and content from adult patient medical communication. Pediatric visits are particularly challenging in requiring that physician engage in a dance with not one but at least two partners -parent and child - and that physician be able to lead at times and follow at others. The communication between pediatrician, children and parents is similar to a triad, each part having particular role and involvement.2. COMMUNICATION WITH THE PARENTSThe parental status is important in determining attitude and expectancies towards medical staff: parents may be hospital first-timers, youngsters accompanied by their own parents, single, divorced, remarried or recent immigrants whose primary language is not Romanian. They may be burdened by responsibility of making decisions for their child or unrealistic in their expectations for their child's potential (Farrell, 2001). Studies (Levetown, 2008) have shown that relationships with practitioners are a major parental complaint of health care practice. An effective communication between physicians and patients/parents include interest, caring, warmth, and responsiveness. Thus, it's not surprising that relationships between parents and doctors have an important effect on parental satisfaction, recall of instructions and treatment adherence. Some studies revealed that these are more importance for patient satisfaction than having to sign an informed consent. (Levetown, 2008) On other hand, a sometimes subjective perception on doctor's behavior (i.e-when patients feel they are disrespected or have not talked enough about their fears) makes parents doubtful regardless of amount of information provided. In some pediatric hospital settings usage of audiotapes is provided to allow parents to repeatedly listen to information and to enable dissemination of information to others who could not be present. This particular aspect is very important, since parents frequently ask for other people's opinions in making healthcare decisions for their children, whether it is their own parents, other doctors, other relatives, friends or sometimes religious leaders.3. COMMUNICATION WITH THE CHILDRENPediatric patients may range in age from newborns through adolescents; thus, a pediatrician should adapt his or her communication skills to a continuously changing interlocutor. Because emotional development and cognitive abilities evolve with age, pediatric patients may be oblivious (infants), uninformed (children), or invincible (teenagers). Their communication modes are sometimes influenced by presence of their parents; parental presence in room may be an intimidating factor. The obligation to discuss healthcare with child patient is supported by several international laws, policies, and court decisions (e.g. Bellotti vs. Baird, 443 US 622 [1979]); moreover, a better communication will allow children to be active participants in their healthcare. There are several reasons that determine children's fear of doctors, nurses and hospital settings in general, and these are anticipation of painful events, an unfriendly or unknown environment, unfamiliar faces, lack of understanding medical act and, last but not least, the doctor/shot threat that is frequently used by parents. …" @default.
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• W2530104934 title "Communication with Pediatric Patients: More Than a Medical Act" @default.
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