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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Communication

Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pediatric Cardiothoracic Team<br>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<br>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<br>This group consists of physicians and nurses from pediatric cardiology and pediatric anesthesiology who care for children who require cardiothoracic surgery. | |
| Parent<br>This group consists of the parent or legal guardian of the pediatric patient who requires cardiothoracic surgery. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Peri-operative risk information | 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. | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Informed decisions | 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. | 1 week | 
| Trust in the medical team | 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. | 1 week | 
| Desire for disclosure of peri-operative complications | 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. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Congenital cardiac disease, Teamwork, Communication, Peri-operative