Observational studyJournal of pain and symptom management2019
Interprofessional Teamwork During Family Meetings in the Pediatric Cardiac Intensive Care Unit.
Observational study in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- Embedding Compassion and Communication Frameworks in Pediatric Cardiology.Pediatric cardiology · 2026Review
- A Pediatric Interprofessional Cardiac Intensive Care Unit Intervention: CICU Teams and Loved Ones Communicating (CICU TALC) is Feasible, Acceptable, and Improves Clinician Communication Behaviors in Family Meetings.Pediatric cardiology · 2025Article
- Article
- Parental communication satisfaction with the clinical team in the paediatric cardiac ICU.Cardiology in the young · 2024Article
- Parent communication with care teams and preparation for family meetings in the paediatric cardiac ICU: a qualitative study.Cardiology in the young · 2024Article
- Audiovisual Recording in the Inpatient Setting: A Method for Studying Parent-Nurse Communication.Journal of family nursing · 2023Article
- Parent-Provider Communication in Hospitalized Children with Advanced Heart Disease.Pediatric cardiology · 2022Article
- Role of Social Workers in Family Conferences for Critically Ill Infants.Journal of palliative medicine · 2022Observational
- Intervention Codesign in the Pediatric Cardiac Intensive Care Unit to Improve Family Meetings.Journal of pain and symptom management · 2022Article
- Assessment of an Instrument to Measure Interdisciplinary Staff Perceptions of Quality of Dying and Death in a Pediatric Cardiac Intensive Care Unit.JAMA network open · 2022Article
- Family Meetings in Palliative Care: Benefits and Barriers.Current treatment options in oncology · 2022Review
- State of the science and future research directions in palliative and end-of-life care in paediatric cardiology: a report from the Harvard Radcliffe Accelerator Workshop.Cardiology in the young · 2022Article
- Challenges and Priorities for Pediatric Palliative Care Research in the U.S. and Similar Practice Settings: Report From a Pediatric Palliative Care Research Network Workshop.Journal of pain and symptom management · 2019Article
- Interprofessional Team Member Communication Patterns, Teamwork, and Collaboration in Pre-family Meeting Huddles in a Pediatric Cardiac Intensive Care Unit.Journal of pain and symptom management · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
contextParents of children in the pediatric cardiac intensive care unit (CICU) report inadequate communication and a lack of empathy during conversations with their clinicians.
objectiveTo assess quantitatively and qualitatively the contributions made by team members of different professions in communicating with parents during family meetings.
methodsProspective observational study. The study was conducted in the pediatric CICU at the Children's Hospital of Philadelphia. Subjects were members of the interprofessional team attending family meetings for patients admitted to the CICU longer than two weeks. We used quantitative conversation attribution and coding to compare durations of attendee contributions and contribution type by professional role. The SCOPE codebook and other quantitative codes drawn from best practices in family meetings were used to measure communication behaviors. A qualitative analysis of nurses' and social workers' contributions was used to identify themes not otherwise captured.
resultsAcross 10 meetings, physicians spoke for an average of 78.1% (SD 10.7%) of each meeting, nonphysicians 9.6% (SD 7.8%), and parents 17.4% (SD 12.2%). Parental understanding was assessed an average of 0.2 (SD 0.4) times per meeting. Parents expressed emotion an average of 4.2 times per meeting (SD 7.1), and the clinical team responded empathetically 2.2 times per meeting (SD 4.3). All clinician empathic responses were a minority of their overall contributions. Conversation was almost exclusively between physicians and families until physicians indicated other team members could contribute.
conclusionsCoordination of team members' roles in the meetings may improve parental engagement necessary for decision-making and empathic responses that are often missed.
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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.