Observational studyAcademic pediatrics
Parent and Provider Experience and Shared Understanding After a Family-Centered Nighttime Communication Intervention.
Observational study in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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
9 citing papers in PubMed.
- Language Disparities in Caregiver Satisfaction with Physician Communication at Well Visits from 0-2 Years.Academic pediatrics · 2024Trial
- Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention studyBMJ (Clinical research ed.) · 2018Trial
- Patient and Family-Centered Care to Promote Inpatient Safety: An Exploration of Nursing Care and Management Processes.Nursing reports (Pavia, Italy) · 2025Article
- Child and Family Outcomes and Experiences Related to Family-Centered Care Interventions for Hospitalized Pediatric Patients: A Systematic Review.Children (Basel, Switzerland) · 2024Review
- Using Quality Improvement Science to Promote Reliable Communication During Family-Centered Rounds.Pediatrics · 2022Article
- Huddles and their effectiveness at the frontlines of clinical care: a scoping review.Journal of general internal medicine · 2021Article
- Health Literacy in the Inpatient Setting: Implications for Patient Care and Patient Safety.Pediatric clinics of North America · 2019Review
- Parent Perceptions of Real-time Access to Their Hospitalized Child's Medical Records Using an Inpatient Portal: A Qualitative Study.Hospital pediatrics · 2019Article
- Parent-Provider Miscommunications in Hospitalized Children.Hospital pediatrics · 2017Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo assess parent and provider experience and shared understanding after a family-centered, multidisciplinary nighttime communication intervention (nurse-physician brief, family huddle, family update sheet).
methodsWe performed a prospective intervention study at a children's hospital from May 2013 to October 2013 (preintervention period) and May 2014 to October 2014 (postintervention period). Participants included 464 parents, 176 nurses, and 52 resident physicians of 582 hospitalized 0- to 17-year-old patients. Pre- versus postintervention, we compared parent/provider top-box scores (eg, "excellent") for experience with communication across several domains; and level of agreement (shared understanding) between parent, nurse, and resident reports of patients' reason for admission, overnight medical plan, and overall medical plan, as rated independently by blinded clinician reviewers (agreement = 74.7%, kappa = .60).
resultsTop-box parent experience improved for 1 of 4 domains: Experience and Communication With Nighttime Doctors (23.6% to 31.5%). Top-box provider experience improved for all 3 domains, including Communication and Shared Understanding With Families (resident rated, 16.5% to 35.1%; nurse rated, 32.2% to 37.9%) and Experience, Communication, and Shared Understanding With Other Providers (resident rated, 20.3% to 35.0%; nurse rated, 14.7% to 21.5%). Independently rated shared understanding remained unchanged for most domains but improved for parent-nurse composite shared understanding (summed agreement for reason for admission, overall plan, and overnight plan; 36.2% to 48.2%) and nurse-resident shared understanding regarding reason for admission (67.1% to 71.2%) and regarding overall medical plan (45.0% to 58.6%). All P <.05.
conclusionsA family-centered, multidisciplinary nighttime communication intervention was associated with improvements in some, but not all, domains of parent/provider experience and shared understanding, particularly provider experience and nurse-family shared understanding. The intervention was promising but requires further refinement.
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Registered trials
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