Evidence map›Paper›PMID 36450655›Full record

ArticlePediatrics2023

Parent Perspectives on Sharing Pediatric Hospitalization Clinical Notes.

Michelle M Kelly, Peter L T Hoonakker, Carrie L Nacht, Catherine Arnott Smith, Shannon M Dean, Daniel J Sklansky, Windy Smith, Carley M Sprackling, Benjamin M Zellmer, Ryan J Coller

Abstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Adolescent Access to Clinicians' Notes: Adolescent, Parent, and Clinician Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michelle M KellyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Peter L T HoonakkerWisconsin Institute for Health Systems Engineering.
Carrie L NachtSchool of Public Health, San Diego State University, San Diego, California.
Catherine Arnott SmithThe Information School, University of Wisconsin-Madison, Madison, Wisconsin.
Shannon M DeanSt. Jude Children's Research Hospital, Memphis, Tennessee.
Daniel J SklanskyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Windy SmithUW Health, Madison, Wisconsin.
Carley M SpracklingDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Benjamin M ZellmerDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Ryan J CollerDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
BedsideNotes: Engaging families to improve pediatric safetyK08HS027214 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI KELLY, MICHELLE M · 2020 to 2024
$789k
AHRQ HHS K08 HS027214NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

BACKGROUND AND

objectivesFederal guidelines mandate that hospitals provide patients and caregivers with free, online access to their physician's clinical notes. This study sought to identify parent perceptions of the benefits and challenges of real-time note access during their child's hospitalization and strategies to optimize note-sharing at the bedside.

methodsThis qualitative study was conducted with parents of children aged <12 years admitted to a pediatric hospitalist service in April 2019. Parents were given access to their child's admission and daily progress notes on a bedside tablet (iPad), and interviewed upon discharge. In-depth, 60-minute interviews were audio-recorded and transcribed. Two researchers developed and refined a codebook and coded data inductively and deductively with validation by a third researcher. Thematic analysis was used to identify emergent themes.

resultsThe 28 interviewed parents described 6 benefits of having note access, which: provided a recap and improved their knowledge about their child's care plan, enhanced communication, facilitated empowerment, increased autonomy, and incited positive emotions. Potential challenges included that notes: caused confusion, hindered communication with the health care team, highlighted problems with note content, and could incite negative emotions. Parents recommended 4 strategies to support sharing: provide preemptive communication about expectations, optimize the note release process, consider parent-friendly note template modifications, and offer informational resources for parents.

conclusionsFindings provide a framework for operationalizing note-sharing with parents during hospitalization. These results have important implications for hospitals working to comply with federal regulations and researchers assessing the effects of increased information transparency in the inpatient setting.

Indexed as

HospitalizationParentsChildCommunicationHospitals, PediatricHumansInpatientsQualitative Research

Identifiers

PMID36450655
PMCPMC9998186

What OpenQuestion holds

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Registered trials

None linked

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.