ArticleArchives of disease in childhood2015
Conflict escalation in paediatric services: findings from a qualitative study.
Article in Archives of disease in childhood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors affecting decision-making in children with complex care needs: a consensus approach to develop best practice in a UK children's hospital.BMJ paediatrics open · 2022Guideline
- Physician decision-making process about withholding/withdrawing life-sustaining treatments in paediatric patients: a systematic review of qualitative evidence.BMC palliative care · 2022Pooled it
- Nurses' stressful experiences in providing palliative and end-of-life care for children: A meta-synthesis.Palliative & supportive care · 2026Review
- Asking to advance: a discourse analytic perspective on how Socratic questioning scaffolds medical house officers' expertise.BMC medical education · 2026Article
- Applications of Medical Mediation: A Systematic Review of Its Role in Healthcare Dispute Resolution and Bioethical Decision-Making.Healthcare (Basel, Switzerland) · 2025Review
- Healthcare decision-makers' perspectives on evaluating conflict management training in paediatric healthcare: a utilisation-focused qualitative study.BMJ paediatrics open · 2024Article
- Trust in Physicians, Anxiety and Depression, and Decision-Making Preferences among Parents of Children with Serious Illness.Journal of palliative medicine · 2022Article
- Transforming training into practice with the conflict management framework: a mixed methods study.BMJ paediatrics open · 2021Article
- The hard talk: Managing conflict in the cardiac intensive care unit.Progress in pediatric cardiology · 2020Article
- A conceptual model of barriers and facilitators to primary clinical teams requesting pediatric palliative care consultation based upon a narrative review.BMC palliative care · 2019Review
- Achieving consensus advice for paediatricians and other health professionals: on prevention, recognition and management of conflict in paediatric practice.Archives of disease in childhood · 2019Article
- Changes in Parental Hopes for Seriously Ill Children.Pediatrics · 2018Article
- When trust is threatened: Qualitative study of parents' perspectives on problematic clinical relationships in child cancer care.Psycho-oncology · 2017Article
- Parental Concordance Regarding Problems and Hopes for Seriously Ill Children: A Two-Year Cohort Study.Journal of pain and symptom management · 2017Article
- Conflict in a paediatric hospital: a prospective mixed-method study.Archives of disease in childhood · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo explore clinician and family experiences of conflict in paediatric services, in order to map the trajectory of conflict escalation.
designQualitative interview study, employing extreme-case sampling. Interviews were analysed using an iterative thematic approach to identify common themes regarding the experience and escalation of conflict.
participantsThirty-eight health professionals and eight parents. All participants had direct experience of conflict, including physical assault and court proceedings, at the interface of acute and palliative care.
settingTwo teaching hospitals, one district general hospital and two paediatric hospices in England, in 2011.
resultsConflicts escalate in a predictable manner. Clearly identifiable behaviours by both clinicians and parents are defined as mild, moderate and severe. Mild describes features like the insensitive use of language and a history of unresolved conflict. Moderate involves a deterioration of trust, and a breakdown of communication and relationships. Severe marks disintegration of working relationships, characterised by behavioural changes including aggression, and a shift in focus from the child's best interests to the conflict itself. Though conflicts may remain at one level, those which escalated tended to move sequentially from one level to the next.
conclusionsUnderstanding how conflicts escalate provides clinicians with a practical, evidence-based framework to identify the warning signs of conflict in paediatrics.
Indexed as
Identifiers
What 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.