Clinicians' Perspectives on the Functions of Communication in Pediatric Oncology.

Abstract

<b><i>Background:</i></b> Parents previously identified eight core functions of communication with clinicians in pediatric oncology. <b><i>Objective:</i></b> To determine clinicians' views on communication functions in pediatric oncology. <b><i>Design:</i></b> In 10 focus groups with 59 clinicians at two academic centers, we asked open-ended questions about communication goals and purposes. Then we presented definitions of eight communication functions previously described by parents and explored clinicians' perspectives. <b><i>Setting/Subjects:</i></b> We performed separate focus groups for nurses, nurse practitioners, physicians, and psychosocial professionals. <b><i>Measurements:</i></b> Thematic analysis of focus group transcripts. <b><i>Results:</i></b> Clinicians identified six functions in response to open-ended questions. After reviewing the eight functions described by parents, all clinicians agreed with the framework: building relationships, exchanging information, making decisions, enabling family self-management, managing uncertainty, responding to emotions, supporting hope, and providing validation. <b><i>Conclusions:</i></b> Pediatric oncology clinicians corroborated this functional communication framework. Clinicians and researchers can utilize this framework to guide care and research in the future.