Best Practices

Best Practices
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Provider/Parent Interactions in Pediatrics

Best Practices
Provider/Parent Interactions in Pediatrics
Dr. Betty Davies, RN, PhD, FAAN and
Dr. Rose Steele, RN, PhD

When a child is seriously ill or dying, relationships and exchanges with health care professionals (HCPs) clearly determine parent satisfaction with care, and affect long term outcomes. We lack understanding of what makes it possible for some HCPs to employ best practices that include not only technical expertise but generous sharing of their full humanity.


The purpose of this 3-year prospective grounded theory study is to generate a detailed, contextually-based description and theoretical framing of the process of best practices in parent/HCP interactions with a view to understanding the factors that make such interactions possible. Guided by symbolic interaction theory and relational inquiry, and using a grounded theory approach, we will observe up to 60 parents of children with complex chronic conditions (CCCs). These observations will occur in three settings – two inpatient sites at BC Women’s and Children’s Hospital and at Canuck Place Children’s Hospice. We also will have conversations with these parents and HCPs about their perceptions of the interactions in order to delineate how some HCPs, operating under the same external stressors as other HCPs, relate to parents in the supportive and effective ways that are described by parents as “human”. Once these best practices for parent/HCP interactions are identified, strategies can be devised that assure their translation to the bedside, thus enhancing family-centered care.


For more information please contact Anne-Mette Hermansen (Research Coordinator) at 604-875-2000 ext. 5278 or Anne-Mette.Hermansen@bc.cw.ca.