Lifelong Learning Programme

This project has been funded with support from the European Commission.
This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

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Training of Lecturers

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This training package is addressed to lecturers and trainers in the field of paediatrics on how to assist paediatric undergraduate and resident students in developing and consolidating their soft skills for improving the quality of paediatric services.

Communicating with Parents

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2.2. Communicating with Parents
Introduction
The pediatrician-parent-patient relationship is built on trust. The most important predictive factors of effective communication between physicians and patients/parents are the perception of interest, caring, warmth, and responsiveness. Trust during pediatric encounters is generally defined as a parent's belief that the pediatric health care provider has their child's best interest in mind. Bad relationship with practitioners is the main source of parents’ criticism. Good relationship has a greater influence on patient satisfaction, patient recall and treatment adherence than written instructions or even the time of the medical encounter (Levetown 2008).

To ensure good communication between parents and health care providers it’s necessary to understand what parents consider important about doctor-patient/parent relationships and what are the most critical points of medical encounters. The following list is based on the Softis-ped parent questionnaire and parent interviews conducted during the project:
  • Clarity, directness: talk the patients’ language, direct the conversation to relevant directions, avoid last-minute surprises when feasible
  • Honesty: withholding information is only acceptable if the physician is convinced that telling the parents may increase the risk of harm to the child or young person or anyone else. Advice from an experienced colleague or lead clinician may help to find out what is the best way to approach the situation.
  • Respect: greet the child and the parent by name, smile
  • Listening: engage the parents and the child in a dialogue, at the end of the consultation, ask if the parents have any questions. Give time for the parents to absorb and understand the content of your explanations
  • More and better information about the illness, treatment plan, and expected outcome
  • More openness about the hazards and side-effects of treatment
  • Discussing benefits, risks, information on other treatments available (including not doing the procedure at all). Dismissing complementary and alternative medicine offhand does not convince parents.

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This project has been funded with support from the European Commission. This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.