The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project

Good communication is central to good healthcare. As a result of poor communication between parents and healthcare professionals (HCPs) in clinical settings, this study aimed to address this problem by developing a communication tool to empower parents and act as a prompt for HCPs to talk about the...

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Main Authors: Luise V. Marino, Nicole Collaḉo, Sophie Coyne, Megan Leppan, Steve Ridgeway, Tara Bharucha, Colette Cochrane, Catarina Fandinga, Karla Palframan, Leanne Rees, Ahmed Osman, Mark J. Johnson, Anna Hurley-Wallace, Anne-Sophie E. Darlington
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Healthcare
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Online Access:https://www.mdpi.com/2227-9032/11/20/2706
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author Luise V. Marino
Nicole Collaḉo
Sophie Coyne
Megan Leppan
Steve Ridgeway
Tara Bharucha
Colette Cochrane
Catarina Fandinga
Karla Palframan
Leanne Rees
Ahmed Osman
Mark J. Johnson
Anna Hurley-Wallace
Anne-Sophie E. Darlington
author_facet Luise V. Marino
Nicole Collaḉo
Sophie Coyne
Megan Leppan
Steve Ridgeway
Tara Bharucha
Colette Cochrane
Catarina Fandinga
Karla Palframan
Leanne Rees
Ahmed Osman
Mark J. Johnson
Anna Hurley-Wallace
Anne-Sophie E. Darlington
author_sort Luise V. Marino
collection DOAJ
description Good communication is central to good healthcare. As a result of poor communication between parents and healthcare professionals (HCPs) in clinical settings, this study aimed to address this problem by developing a communication tool to empower parents and act as a prompt for HCPs to talk about the child’s care and gather information at the point of admission to hospital about what is important to families, therefore supporting patient-centered communication. A design thinking process was used to develop a physical copy of Chloe’s card and evaluate its use. Design thinking is a problem-solving approach, which uses an empathetic lens to integrate viewpoints of different stakeholders throughout the process of creating solutions. Design thinking involves five processes: (1) empathise—including a literature review and data synthesis, (2) define—by completing semi-structured interviews with parents about their experience of communication and HCPs perceptions of parent’s experience of communication, (3) ideate—iterate the design of Chloe’s card with parents and HCPs, (4) prototype—develop the design of Chloe’s card, and (5) test—pilot test in clinical practice. Results from this initial study suggest that a small hand-held card, with emoticons and a place to write concerns, was acceptable to parents and feasible to use in clinical practice. Parents do not always feel heard by HCPs and a tool such as Chloe’s card may help facilitate sharing of information about matters important to them and their child. However, some HCPs felt the need for a communication tool undermined their clinical skills. Feedback from HCP participants suggests that the idea of Chloe’s card was acceptable and perceived as potentially being useful in clinical practice. Further work is required, as part of a larger study, to further refine this communication tool, identify those parents who would benefit most from Chloe’s card, as well as to further refine the HCP process prior to implementing it into clinical settings. It was noted future iterations would benefit from a digital version linked with a child’s electronic record, as well as multi-language versions and information for parents.
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spelling doaj.art-935842138ac34a468542ae4d36197c012023-11-19T16:36:58ZengMDPI AGHealthcare2227-90322023-10-011120270610.3390/healthcare11202706The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement ProjectLuise V. Marino0Nicole Collaḉo1Sophie Coyne2Megan Leppan3Steve Ridgeway4Tara Bharucha5Colette Cochrane6Catarina Fandinga7Karla Palframan8Leanne Rees9Ahmed Osman10Mark J. Johnson11Anna Hurley-Wallace12Anne-Sophie E. Darlington13Paediatric Intensive Care, Southampton Children’s Hospital, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKSchool of Health Sciences, Southampton University, Southampton SO17 1BJ, UKRaised By Wolves, London W1F 7PR, UKRaised By Wolves, London W1F 7PR, UKRaised By Wolves, London W1F 7PR, UKPaediatric Cardiology, Southampton Children’s Hospital, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKPaediatric Cardiology, Southampton Children’s Hospital, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKDepartment of Dietetics/Speech Language Therapy, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKDepartment of Dietetics/Speech Language Therapy, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKDepartment of Dietetics/Speech Language Therapy, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKPaediatric Intensive Care, Southampton Children’s Hospital, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKNeonatal Medicine, Princess Anne Hospital, University Southampton Hospital NHS Foundation Trust, Southampton SO16 6YD, UKSchool of Health Sciences, Southampton University, Southampton SO17 1BJ, UKSchool of Health Sciences, Southampton University, Southampton SO17 1BJ, UKGood communication is central to good healthcare. As a result of poor communication between parents and healthcare professionals (HCPs) in clinical settings, this study aimed to address this problem by developing a communication tool to empower parents and act as a prompt for HCPs to talk about the child’s care and gather information at the point of admission to hospital about what is important to families, therefore supporting patient-centered communication. A design thinking process was used to develop a physical copy of Chloe’s card and evaluate its use. Design thinking is a problem-solving approach, which uses an empathetic lens to integrate viewpoints of different stakeholders throughout the process of creating solutions. Design thinking involves five processes: (1) empathise—including a literature review and data synthesis, (2) define—by completing semi-structured interviews with parents about their experience of communication and HCPs perceptions of parent’s experience of communication, (3) ideate—iterate the design of Chloe’s card with parents and HCPs, (4) prototype—develop the design of Chloe’s card, and (5) test—pilot test in clinical practice. Results from this initial study suggest that a small hand-held card, with emoticons and a place to write concerns, was acceptable to parents and feasible to use in clinical practice. Parents do not always feel heard by HCPs and a tool such as Chloe’s card may help facilitate sharing of information about matters important to them and their child. However, some HCPs felt the need for a communication tool undermined their clinical skills. Feedback from HCP participants suggests that the idea of Chloe’s card was acceptable and perceived as potentially being useful in clinical practice. Further work is required, as part of a larger study, to further refine this communication tool, identify those parents who would benefit most from Chloe’s card, as well as to further refine the HCP process prior to implementing it into clinical settings. It was noted future iterations would benefit from a digital version linked with a child’s electronic record, as well as multi-language versions and information for parents.https://www.mdpi.com/2227-9032/11/20/2706complex medical needsfamily centered careshared decision makingchildrencommunication
spellingShingle Luise V. Marino
Nicole Collaḉo
Sophie Coyne
Megan Leppan
Steve Ridgeway
Tara Bharucha
Colette Cochrane
Catarina Fandinga
Karla Palframan
Leanne Rees
Ahmed Osman
Mark J. Johnson
Anna Hurley-Wallace
Anne-Sophie E. Darlington
The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project
Healthcare
complex medical needs
family centered care
shared decision making
children
communication
title The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project
title_full The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project
title_fullStr The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project
title_full_unstemmed The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project
title_short The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project
title_sort development of a communication tool to aid parent centered communication between parents and healthcare professionals a quality improvement project
topic complex medical needs
family centered care
shared decision making
children
communication
url https://www.mdpi.com/2227-9032/11/20/2706
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