Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Department of Public Health, University of Memphis, Memphis, Tennessee, USA.
Pediatr Blood Cancer. 2021 Oct;68(10):e29270. doi: 10.1002/pbc.29270. Epub 2021 Aug 6.
Broaching conversations about goals of care can be difficult for clinicians. Presently, the communication strategies used by pediatric oncologists to approach goals of care conversations are not well understood. We recorded disease re-evaluation conversations between pediatric oncologists, patients, and parents, capturing 141 conversations (∼2400 minutes) for 17 patients with advancing illness across the study period. We conducted content analysis to identify strategies for broaching goals-of-care conversations and found five distinct communication approaches, which were not mutually exclusive. Further research is needed to explore patient and family views on best practices for broaching discussions about goals of care.
与临床医生探讨医疗目标可能具有挑战性。目前，儿科肿瘤医生在进行医疗目标对话时使用的沟通策略尚不清楚。我们记录了儿科肿瘤医生、患者和家长之间的疾病再评估对话，在研究期间共记录了 17 名病情加重的患者的 141 次对话（约 2400 分钟）。我们进行了内容分析，以确定探讨医疗目标对话的策略，发现了五种不同的沟通方法，它们并非互斥。需要进一步研究以探讨患者和家属对探讨医疗目标的最佳实践的看法。
