Families and Pediatric Cardiac Surgery Multidisciplinary Teams: How Well Do We Communicate

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Cherissa Hanson, MD, University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT01371864
First received: June 9, 2011
Last updated: March 4, 2013
Last verified: March 2013
  Purpose

Purpose:

-To evaluate the peri-operative communication between families and the pediatric cardiac surgery team.

Method:

-In this study the investigators plan to utilize structured interview and survey of parents/legal guardians and health care providers of children undergoing cardiac surgery in the United States of America.


Condition
Communication

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Families and Pediatric Cardiac Surgery Multidisciplinary Teams: How Well Do We Communicate?

Resource links provided by NLM:


Further study details as provided by University of North Carolina, Chapel Hill:

Primary Outcome Measures:
  • Peri-operative risk information [ Time Frame: 1 week ] [ Designated as safety issue: No ]
    Parental and provider assessment of the content and nature of communications in the peri-operative time period. Specifically, the quantity and type of risk information required before consenting for surgery.


Secondary Outcome Measures:
  • Informed decisions [ Time Frame: 1 week ] [ Designated as safety issue: No ]
    Parental and provider assessment of the content and nature of communications in the peri-operative time period. Specifically, the family's ability to make informed decisions.

  • Trust in the medical team [ Time Frame: 1 week ] [ Designated as safety issue: No ]
    Parental and provider assessment of the content and nature of communications in the peri-operative time period. Specifically, the families trust in the medical team.

  • Desire for disclosure of peri-operative complications [ Time Frame: 1 week ] [ Designated as safety issue: No ]
    Parental and provider assessment of the content and nature of communications in the peri-operative time period. Specifically, families desire for disclosure of peri-operative complications.


Enrollment: 23
Study Start Date: August 2011
Study Completion Date: December 2011
Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts
Pediatric Cardiothoracic Team
This group consists of members of the cardiothoracic surgery team: The attending physician, the fellow physician, the nurses, and the physician assistants.
Critical Care Team
This group consists of the nurses and physicians who work in the pediatric intensive care unit and the neonatal intensive care unit caring for patients who require cardiothoracic surgery.
Subspecialty Team
This group consists of physicians and nurses from pediatric cardiology and pediatric anesthesiology who care for children who require cardiothoracic surgery.
Parent
This group consists of the parent or legal guardian of the pediatric patient who requires cardiothoracic surgery.

Detailed Description:

Every day clinicians face challenges when attempting to negotiate their way through dialogues with families whose children require surgical intervention in the near future. The area of clinician-patient communication with pediatric families is under-researched and highlights a pressing clinical problem. There are several adult studies that describe the content and nature of patient-physician communications at the time of cardiac surgery. However, there are no studies that evaluate the communications between nursing, physicians, and pediatric patient's families at the time of cardiac surgery. Further knowledge in this area is valuable in that a disparity between the these groups can lead to medical error, damage the clinician-patient relationship and provide grounds for dissatisfaction, complaints, or claim. This research will provide insight into what patient's families value in their communications with the medical team and assist the medical community in better meeting our children's families needs.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

The study population will be selected from a tertiary care academic children's hospital including:

  • Inpatient population within the pediatric critical care unit, neonatal critical care unit, and the cardiac intermediate care unit.
  • Outpatient population including the pediatric cardiothoracic surgery clinic patients.
  • Hospital personnel
Criteria

Inclusion Criteria:

  • Primary language is English
  • > 18 years age
  • Nurse, physician, physician assistant, or parent / legal guardian of a pediatric patient who requires cardiothoracic surgery at the North Carolina Children's Hospital.

Exclusion Criteria:

  • Primary language is not English. The interviewers all speak English as their primary language. People whose primary language is other than English will only be excluded if they do not have the ability to converse in English with the interviewers.
  • <18 years of age. The parent / legal guardian must be of age to be the primary caregiver able to make decisions for their child.
  • People with an intellectual or mental impairment that prohibits their capacity to make medical decisions for their child. Our research aims to investigate the relationship between the parent / legal guardians of pediatric cardiac surgery patients who interact with the pediatric cardiac surgery multidisciplinary team. These individuals must have sufficient mental capacity to be able to provide consent for their child to undergo surgery. Individuals with intellectual or mental impairment that prohibits their ability to give consent are therefore excluded.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01371864

Locations
United States, North Carolina
The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States, 27599
Sponsors and Collaborators
University of North Carolina, Chapel Hill
Investigators
Principal Investigator: Cherissa C Hanson, MD University of North Carolina, Chapel Hill
  More Information

No publications provided

Responsible Party: Cherissa Hanson, MD, Assistant Professor of Anesthesiology, University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier: NCT01371864     History of Changes
Other Study ID Numbers: 10-1772, UNCDRE
Study First Received: June 9, 2011
Last Updated: March 4, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by University of North Carolina, Chapel Hill:
Congenital cardiac disease
Teamwork
Communication
Peri-operative

ClinicalTrials.gov processed this record on August 20, 2014