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Clinical Pediatrics, Vol. 21, No. 9, 540-544 (1982)
DOI: 10.1177/000992288202100905

Interaction of Health-care Professionals with Critically III Children and Their Parents

George W. Marten

Division of Psychiatry, St. Jude Children's Research Hospital, Memphis, Tennessee

Alvin M. Mauer

Division of Psychiatry, St. Jude Children's Research Hospital, Memphis, Tennessee

The stresses imposed on the emotional equilibrium of a team of health-care professionals by the serious illness of a child can disrupt communication among the team, the child, and the parents. Such stresses may be so severe as to interfere with the ability of the adults to meet the child's needs. Although the feelings and attitudes of critically ill children and their parents are well described in the medical literature, very little has been written about the psychosocial interaction among those responsible for the patient's care. Patterns of interaction which would be most beneficial to the child are still in doubt.

The purpose of this article is to review available information, as well as experience at St. Jude Children's Research Hospital, on the psychosocial interaction of the health-care team with crit ically ill children and their parents. An awareness of the difficulties of caring for such patients is essential in overcoming communication barriers, in reducing any interprofessional tensions that might arise during treatment, and in ensuring high-quality medical care.


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M. Shudy, M. L. de Almeida, S. Ly, C. Landon, S. Groft, T. L. Jenkins, and C. E. Nicholson
Impact of Pediatric Critical Illness and Injury on Families: A Systematic Literature Review
Pediatrics, December 1, 2006; 118(Supplement_3): S203 - S218.
[Abstract] [Full Text] [PDF]