TY - JOUR
T1 - Effective healthcare communication with children and young people
T2 - a systematic review of barriers and facilitators
AU - Navein, Alice
AU - McTaggart, James
AU - Hodgson, Xanthe
AU - Shaw, Joanna
AU - Hargreaves, Dougal
AU - Gonzalez-Viana, Eva
AU - Mehmeti, Agnesa
N1 - Funding Information:
Supported by NICE
Copyright Information:
© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/11/17
Y1 - 2022/11/17
N2 - Objective: To identify children and young people's preferences for effective healthcare communication.Design: 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.Results: 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).Conclusions: 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.PROSPERO registration number: CRD42019145539.
AB - Objective: To identify children and young people's preferences for effective healthcare communication.Design: 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.Results: 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).Conclusions: 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.PROSPERO registration number: CRD42019145539.
KW - Adolescent Health
KW - Child Health
KW - Child Health Services
KW - Nursing Care
KW - Primary Health Care
UR - http://www.scopus.com/inward/record.url?scp=85137281798&partnerID=8YFLogxK
U2 - 10.1136/archdischild-2022-324132
DO - 10.1136/archdischild-2022-324132
M3 - Article
C2 - 36008089
SN - 0003-9888
VL - 107
SP - 1111
EP - 1116
JO - Archives of Disease in Childhood
JF - Archives of Disease in Childhood
IS - 12
ER -