Royal College of Obstetricians and Gynaecologists, London, UK.
Highland Council, Inverness, UK
Arch Dis Child. 2022 Dec;107(12):1111-1116. doi: 10.1136/archdischild-2022-324132. Epub 2022 Aug 25.
To identify children and young people's preferences for effective healthcare communication.
A systematic review of qualitative studies was conducted to identify evidence from children and young people on effective healthcare communication. Electronic databases and reference lists of relevant articles were searched to July 2020.
A total of 13 studies were included. Five major themes were identified: medical information (timing, amount, coordination and futures), person not patient (creating relationships, time, nurse involvement, sensitivity), type of communication (creative and interactive, behavioural, talking and listening, written communication), consultations (first impressions, with and without parents, actively promoting involvement, open and honest, age appropriate) and communication with parents (using parental knowledge, support).
Research in this area remains sparse and consistent implementation is debateable. Children and young people articulate a preference for two-way healthcare communication. General principles for effective communication are identified as well as the need to avoid making assumptions and to tailor approaches to individuals. Establishing and maintaining relationships is essential and requires time and resources. Parents and carers have a positive role in healthcare communication which needs to be balanced with the needs and rights of children. All these factors also apply to children with communication difficulties or from marginalised groups, but additional extra support may be required.
CRD42019145539.
确定儿童和青少年对有效医疗保健沟通的偏好。
对定性研究进行系统评价，以确定来自儿童和青少年的关于有效医疗保健沟通的证据。电子数据库和相关文章的参考文献列表被检索到 2020 年 7 月。
共纳入 13 项研究。确定了五个主要主题：医疗信息（时间、数量、协调和未来）、非患者的人（建立关系、时间、护士参与、敏感性）、沟通类型（创造性和互动、行为、交谈和倾听、书面沟通）、咨询（第一印象、有和没有父母、积极促进参与、坦诚、年龄适宜）和与父母的沟通（利用父母的知识、支持）。
该领域的研究仍然很少，一致的实施是有争议的。儿童和青少年明确表示更喜欢双向医疗保健沟通。确定了有效沟通的一般原则，以及避免假设和针对个人调整方法的必要性。建立和维持关系至关重要，需要时间和资源。父母和照顾者在医疗保健沟通中发挥积极作用，但需要平衡儿童的需求和权利。所有这些因素也适用于有沟通困难或来自边缘化群体的儿童，但可能需要额外的额外支持。
PROSPERO 注册号：CRD42019145539。
