Parent-Nurse Communication in Pediatric Wards: A Comprehensive Review of the Inpatient Care Experience for Children with Medical Complexities and their Families

Abstract

Background: Children with medical complexities (CMC) represent a significant and growing demographic within pediatric healthcare, characterized by high hospitalization rates and complex care needs. This population often experiences lower satisfaction with inpatient care due to challenges in communication and collaboration between healthcare professionals and families.

Methods: This scoping review aimed to consolidate existing literature on the inpatient care experiences of CMC and their families. A comprehensive search of databases including EMBASE, CINAHL, MEDLINE, and others was conducted. The review focused on identifying key themes related to parent-nurse communication, shared decision-making, and the integration of parental expertise into care.

Results: The findings revealed that effective communication and collaborative decision-making are crucial for enhancing the care experience of CMC. Parents expressed a desire for active participation in care decisions, emphasizing the importance of establishing mutual goals with healthcare professionals. Additionally, the study highlighted the need for improved continuity of care and the integration of parental knowledge into treatment plans. Barriers to effective communication, such as inconsistent messaging and lack of empathy from healthcare providers, were identified as significant challenges.

Conclusion: Enhancing parent-nurse communication and fostering collaborative relationships are essential for improving the inpatient care experience of CMC and their families. Future research should focus on developing and evaluating interventions that promote shared decision-making and effective communication strategies. Addressing these areas will not only improve patient satisfaction but also contribute to better health outcomes for children with medical complexities.