ArticleJournal of perinatology : official journal of the California Perinatal Association2009
Analysis of enacted difficult conversations in neonatal intensive care.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Trial
- Parent Satisfaction With Communication Is Associated With Physician's Patient-Centered Communication Patterns During Family Conferences.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2016Trial
- Development of a Joint-Specialty Simulation-Based Workshop to Optimize Counseling at Extreme Prematurity.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- The Pediatric Ethics & Professionalism Assessment Tool (Pedi-EPAT): Development and implementation of a novel, competency-based assessment.PEC innovation · 2025Article
- Decision making at extreme prematurity: Innovation in clinician education.Seminars in perinatology · 2022Article
- Interprofessional Teamwork During Family Meetings in the Pediatric Cardiac Intensive Care Unit.Journal of pain and symptom management · 2019Observational
- Teaching and assessing ethics in the newborn ICU.Seminars in perinatology · 2016Review
- Family Conferences in the Neonatal ICU: Observation of Communication Dynamics and Contributions.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2016Article
- Ethics and professionalism education during neonatal-perinatal fellowship training in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2015Article
- An interdisciplinary, family-focused approach to relational learning in neonatal intensive care.Journal of perinatology : official journal of the California Perinatal Association · 2011Article
- Providing advice to parents for women at acutely high risk of periviable delivery.Obstetrics and gynecology · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the communicative contributions of interdisciplinary professionals and family members in enacted difficult conversations in neonatal intensive care. STUDY
designPhysicians, nurses, social workers, and chaplains (n=50) who attended the Program to Enhance Relational and Communication Skills, participated in a scenario of a preterm infant with severe complications enacted by actors portraying family members. Twenty-four family meetings were videotaped and analyzed with the Roter Interaction Analysis System (RIAS).
resultPractitioners talked more than actor-family members (70 vs 30%). Physicians provided more biomedical information than psychosocial professionals (P<0.001), and less psychosocial information than nurses, and social workers and chaplains (P<0.05; P<0.001). Social workers and chaplains asked more psychosocial questions than physicians and nurses (MD=P<0.005; RN=P<0.05), focused more on family's opinion and understanding (MD=P<0.01; RN=P<0.001), and more frequently expressed agreement and approval than physicians (P<0.05). No differences were found across disciplines in providing emotional support.
conclusionFindings suggest the importance of an interdisciplinary approach and highlight areas for improvement such as using silence, asking psychosocial questions and eliciting family perspectives that are associated with family satisfaction.
Indexed as
Identifiers
19148109What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.