Mother-clinician discussions in the neonatal intensive care unit: agree to disagree?
J Perinatol
; 33(4): 278-81, 2013 Apr.
Article
in En
| MEDLINE
| ID: mdl-22899183
ABSTRACT
OBJECTIVE:
To compare mothers' and clinicians' understanding of an infant's illness and perceptions of discussion quality in the neonatal intensive care unit. STUDYDESIGN:
English-speaking mothers with an infant admitted to the intensive care unit for at least 48 h were interviewed using a semi-structured survey. The clinician whom the mother had spoken to and identified was also surveyed. Interviews were audiotaped and transcribed.RESULT:
A total of 101 mother-clinician pairs were interviewed. Most mothers (89%) and clinicians (92%) felt that their discussions had gone well. Almost all mothers could identify one of their infant's diagnoses (100%) and treatments (93.4%). Mothers and clinicians disagreed on infant illness severity 45% of the time. The majority of mothers (62.5%) who disagreed with clinician estimate of infant illness severity believed their infant to be less sick than indicated by the clinician.CONCLUSION:
Mother-clinician satisfaction with communication does not ensure mother-clinician agreement about an infant's medical status.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Attitude of Health Personnel
/
Intensive Care, Neonatal
/
Consumer Behavior
/
Patient Acuity
/
Mothers
Type of study:
Qualitative_research
Aspects:
Patient_preference
Limits:
Female
/
Humans
/
Newborn
Language:
En
Journal:
J Perinatol
Journal subject:
PERINATOLOGIA
Year:
2013
Document type:
Article
Affiliation country:
Estados Unidos