CritCom: assessment of quality of interdisciplinary communication around deterioration in pediatric oncologic patients

Frontiers in Oncology

Oncology

Jennifer Mack¹  Jennifer Snaman¹  Lisa Morrissey¹  Parthasarathi Bhattacharyya²  Sanjeeva Gunasekera³  Anita V. Arias⁴  Maria Puerto-Torres⁴  Parima Wiphatphumiprates⁴  Jennifer McArthur⁴  Asya Agulnik⁴  Firas Sakaan⁴  Erica C. Kaye⁴  Sherry Johnson⁴  Dylan E. Graetz⁴  Belinda Mandrell⁴  Elizabeth Sniderman⁵  Rana Sharara-Chami⁶  Jocelyn Rivera⁷  Zebin Al Zebin⁸  Alejandra Mendez⁹  Joyce Kambugu^1,10  Lara Counts^1,11  Kim Prewitt^1,11  Douglas A. Luke^1,11  Sara Malone^1,11 

[1] Department of Hematology and Oncology, Dana-Farber Cancer Institute and Boston Children’s Hospital, Boston, MA, United States;Department of Pediatric Oncology Critical Care, Tata Medical Center, Kolkata, India;Department of Pediatric Oncology National Cancer Institute, Maharagama, Sri Lanka;Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children’s Research Hospital, Memphis, TN, United States;Northern Alberta Children’s Cancer Program, Stollery Children’s Hospital, Edmonton, AB, Canada;Pediatric Critical Care Medicine, American University of Beirut, Beirut, Lebanon;Pediatric Emergency Department, Hospital Infantil Teletón de Oncología (HITO), Querétaro, Mexico;Pediatric Hematology and Oncology, King Hussein Cancer Center, Amman, Jordan;Pediatric Intensive Care Unit, Unidad Nacional de Oncología pediátrica (UNOP), Guatemala City, Guatemala;Pediatric Oncology, Uganda Cancer Institute, Kampala, Uganda;Washington University in St. Louis, Brown School, St. Louis, MO, United States;

关键词: communication;    interdisciplinary;    critical care;    quality care;    assessment;   

DOI  :  10.3389/fonc.2023.1207578

 received in 2023-04-17, accepted in 2023-09-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundHigh-quality clinical care requires excellent interdisciplinary communication, especially during emergencies, and no tools exist to evaluate communication in critical care. We describe the development of a pragmatic tool focusing on interdisciplinary communication during patient deterioration (CritCom).MethodsThe preliminary CritCom tool was developed after a literature review and consultation with a multidisciplinary panel of global experts in communication, pediatric oncology, and critical care to review the domains and establish content validity iteratively. Face and linguistic validity were established through cognitive interviews, translation, and linguistic synthesis. We conducted a pilot study among an international group of clinicians to establish reliability and usability.ResultsAfter reviewing 105 potential survey items, we identified 52 items across seven domains. These were refined through cognitive interviews with 36 clinicians from 15 countries. CritCom was piloted with 433 clinicians (58% nurses, 36% physicians, and 6% other) from 42 hospitals in 22 countries. Psychometric testing guided the refinement of the items for the final tool. CritCom comprised six domains with five items each (30 total). The final tool has excellent reliability (Cronbach’s alpha 0.81-0.86), usability (93% agree or strongly agree that the tool is easy to use), and similar performance between English and Spanish tools. Confirmatory factor analysis was used to establish the final 6-domain structure.ConclusionsCritCom is a reliable and pragmatic bilingual tool to assess the quality of interdisciplinary communication around patient deterioration for children in diverse resource levels globally. Critcom results can be used to design and evaluate interventions to improve team communication.

【 授权许可】

Unknown   
Copyright © 2023 Rivera, Malone, Puerto-Torres, Prewitt, Counts, Wiphatphumiprates, Sakaan, Al Zebin, Arias, Bhattacharyya, Gunasekera, Johnson, Kambugu, Kaye, Mandrell, Mack, McArthur, Mendez, Morrissey, Sharara-Chami, Snaman, Sniderman, Luke, Graetz and Agulnik