Grounding perceptions: the value of otoendoscopy images in strengthening parents and children's understanding and decision making in a pediatric ENT clinic

Frontiers in Communication

Communication

Sujata De¹  Sunil Sharma¹  Thomas Hampton²  Bernie Carter³ 

[1] Department of Ear, Nose and Throat, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom;Department of Ear, Nose and Throat, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom;Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom;Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom;

关键词: otoendoscopy;    medical imaging;    consultation;    child (and parent) health literacy;    decision-making;    Ear;    Nose;    Throat (ENT);   

DOI  :  10.3389/fcomm.2023.1215262

 received in 2023-05-01, accepted in 2023-08-15,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionIn recent years, there has been an increasing use of otoendoscopy in middle ear surgery. There is also increasing evidence of its usefulness as a diagnostic tool for clinicians. However, there is limited evidence on whether understanding their ear condition is of benefit to patients. This novel study sought to explore the perceptions, perspectives, and satisfaction of parents, children, and young people regarding the use of otoendoscope images in outpatient ENT consultations in relation to their understanding of ear symptoms, disease, and subsequent treatment. The framework for the study is child (and parent) health literacy and how visual images can play in scaffolding understanding, communication, and decision-making.MethodsThis qualitative descriptive exploratory study used semi-structured observation, a survey, short conversational interviews, and child activities.ResultsPurposive sampling of 16 children (aged 4–15 yrs, various diagnoses) and parents/carers attending an outpatient ENT clinic at a tertiary pediatric hospital. One overarching theme, “Grounding perceptions and deepening engagement,” and two sub-themes, “Strengthening understanding” and “Supporting decision-making,” were identified. The children and parents valued the opportunity to see the images and gain insight and knowledge of their child's pathology.DiscussionThe images appeared to promote child (and parent) health literacy and interaction between the child-parent-clinician and informed shared decision-making. This study suggests that the use of otoendoscopy in an out-patient setting and sharing of the images with parents, children, and young people have a largely positive impact on understanding, relationship building, and decision making in pediatric ENT consultations.

【 授权许可】

Unknown   
Copyright © 2023 Carter, Hampton, Sharma and De.