“Reading the room:” A qualitative analysis of pediatric surgeons’ approach to clinical counseling

Erica M. Carlisle; Laura A. Shinkunas; Maxwell T. Lieberman; Richard M. Hoffman; Heather Schacht Reisinger

doi:10.1016/j.jpedsurg.2022.08.003

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“Reading the room:” A qualitative analysis of pediatric surgeons’ approach to clinical counseling

Journal article

Peer reviewed

“Reading the room:” A qualitative analysis of pediatric surgeons’ approach to clinical counseling

Erica M. Carlisle, Laura A. Shinkunas, Maxwell T. Lieberman, Richard M. Hoffman and Heather Schacht Reisinger

Journal of pediatric surgery, Vol.58(3), pp.503-509

03/2023

DOI: 10.1016/j.jpedsurg.2022.08.003

PMID: 35973862

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https://www.ncbi.nlm.nih.gov/pmc/articles/11108180View

Open Access

Abstract

In our prior analysis of parental preferences for discussions with pediatric surgeons, we identified that parents prefer more guidance from surgeons when discussing cancer surgery, emergency surgery, or surgery for infants, and they prefer to engage surgeons by asking questions. In this study, we investigate surgeon preferences for decision making discussions in pediatric surgery. We conducted a thematic content analysis of interviews of pediatric surgeons regarding their preferences for discussing surgery with parents. Board certified/board eligible pediatric surgeons who had been in practice for at least one year and spoke English were eligible. Fifteen surgeons were invited, and twelve 30-minute semi-structured interviews were completed (80%). Interviews were recorded and transcribed. Thematic content analysis was performed using deductive and inductive methods. Data saturation was achieved after 12 interviews [6 women (50%), median years in practice 6.25, 10 in academic practice (83%), 8 from Midwest (67%)]. 5 themes emerged: (1) Collaboration to promote parental engagement; (2) “Cancer is distinct but not unique;” (3) “Read the room:” tailoring discussions to specific parental needs; (4) Perceived role of the surgeon; (5) Limited experience with decision support tools in pediatric surgery. Pediatric surgeons prefer a collaborative approach to counseling that engages parents through education. They prioritize tailoring discussions to meet parental needs. Few have utilized decision support tools, however most expressed interest. Insight gained from our work will guide development of a decision support tool that empowers parental participation in counseling for pediatric surgery. III

Pediatric Surgery

Cancer

Decision making

Details

Title: Subtitle: “Reading the room:” A qualitative analysis of pediatric surgeons’ approach to clinical counseling
Creators: Erica M. Carlisle - University of Iowa Hospitals and Clinics
Laura A. Shinkunas - University of Iowa
Maxwell T. Lieberman - University of Iowa, Department of Anthropology, USA
Richard M. Hoffman - University of Iowa
Heather Schacht Reisinger - University of Iowa
Resource Type: Journal article
Publication Details: Journal of pediatric surgery, Vol.58(3), pp.503-509
DOI: 10.1016/j.jpedsurg.2022.08.003
PMID: 35973862
NLM abbreviation: J Pediatr Surg
ISSN: 0022-3468
eISSN: 1531-5037
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100008893, name: University of Iowa; DOI: 10.13039/100000002, name: National Institutes of Health; DOI: 10.13039/100000048, name: American Cancer Society, award: IRG – 18-165-43; DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences, award: UL1TR002537
Language: English
Electronic publication date: 08/09/2022
Date published: 03/2023
Academic Unit: Medical Ethics; Stead Family Department of Pediatrics; Epidemiology; Surgery; Center for Social Science Innovation; General Internal Medicine; Internal Medicine
Record Identifier: 9984322803602771

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