Division of Neonatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins Berman Institute of Bioethics, Baltimore, MD 21205, USA.
J Perinatol. 2013 Apr;33(4):278-81. doi: 10.1038/jp.2012.103. Epub 2012 Aug 16.
To compare mothers' and clinicians' understanding of an infant's illness and perceptions of discussion quality in the neonatal intensive care unit.
English-speaking mothers with an infant admitted to the intensive care unit for at least 48 h were interviewed using a semi-structured survey. The clinician whom the mother had spoken to and identified was also surveyed. Interviews were audiotaped and transcribed.
A total of 101 mother-clinician pairs were interviewed. Most mothers (89%) and clinicians (92%) felt that their discussions had gone well. Almost all mothers could identify one of their infant's diagnoses (100%) and treatments (93.4%). Mothers and clinicians disagreed on infant illness severity 45% of the time. The majority of mothers (62.5%) who disagreed with clinician estimate of infant illness severity believed their infant to be less sick than indicated by the clinician.
Mother-clinician satisfaction with communication does not ensure mother-clinician agreement about an infant's medical status.
比较母亲和临床医生对婴儿疾病的理解以及对新生儿重症监护病房讨论质量的看法。
对至少在重症监护病房住院 48 小时的英语为母语的母亲进行半结构化调查采访。与母亲交谈并确定的临床医生也接受了调查。访谈进行了录音和转录。
共采访了 101 对母婴-临床医生。大多数母亲（89%）和临床医生（92%）都认为他们的讨论进行得很顺利。几乎所有的母亲都能识别出婴儿的一个诊断（100%）和治疗方法（93.4%）。母亲和临床医生对婴儿疾病严重程度的看法有 45%的时间存在分歧。大多数（62.5%）不同意临床医生对婴儿疾病严重程度估计的母亲认为她们的婴儿比临床医生指出的要轻。
母婴与临床医生对沟通的满意度并不能确保母婴与临床医生对婴儿医疗状况的一致看法。
