Priority 10 from the Paediatric Hospital Care PSP

UNCERTAINTY: What are the most effective communication methods (e.g. handover, rounds, etc.) between healthcare providers on a general paediatric inpatient unit? (JLA PSP Priority 10)
Overall ranking	10
JLA question ID	0114/10
Explanatory note	A multi-disciplinary team is reponsible for care of children within the general paediatric inpatient unit, as such it is important to know the best ways for these healthcare professionals to communicate effectively amongst each other
Evidence	Brett, J., Staniszewska, S., Newburn, M., Jones, N., & Taylor, L. (2011). A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ open, 1(1).
Health Research Classification System category	Generic health relevance

Extra information provided by this PSP
Original uncertainty examples	lack of communication between specialists ~ lack of communication between nursing staff post surgery and specialist team ~ Many! There is a very big lack of communication between doctors and nurses. Nurses at the same time don't communicate effectively to parents and just give orders. When it comes to children, surgery and anesthesia it is extremely important to educate the parent and build a plan together as per meals including water and other drinks. Nurses don't like to give information to parents and it's cruel to ask a parent not to feed their children for days specially when they still breast feed and are in pain. ~ Lack of professional communication between staff RN to RN and also to other members of health care teams and disciplines ~ The nurses were incredible. They obviously cared greatly for our child and what she was going through. They were the biggest source of information for us throughout the week we were staying in hospital, and made sure we understood everything they were doing, and why. They explained everything they were doing and WHY, often detailing different research information while explaining things to us. ~ How efficient is Epic compared to other systems used in hospitals? ~ How can we utilize connect care for communication between teams?
Submitted by	3 x friend/family member, 2 x nurse, 1 x parent/caregiver, 1 x youth, 1 x occupational therapist, 4 x physician

Extra information provided by this PSP

Original uncertainty examples

lack of communication between specialists ~ lack of communication between nursing staff post surgery and specialist team ~ Many! There is a very big lack of communication between doctors and nurses. Nurses at the same time don't communicate effectively to parents and just give orders. When it comes to children, surgery and anesthesia it is extremely important to educate the parent and build a plan together as per meals including water and other drinks. Nurses don't like to give information to parents and it's cruel to ask a parent not to feed their children for days specially when they still breast feed and are in pain. ~ Lack of professional communication between staff RN to RN and also to other members of health care teams and disciplines ~ The nurses were incredible. They obviously cared greatly for our child and what she was going through. They were the biggest source of information for us throughout the week we were staying in hospital, and made sure we understood everything they were doing, and why. They explained everything they were doing and WHY, often detailing different research information while explaining things to us. ~ How efficient is Epic compared to other systems used in hospitals? ~ How can we utilize connect care for communication between teams?

Submitted by

3 x friend/family member, 2 x nurse, 1 x parent/caregiver, 1 x youth, 1 x occupational therapist, 4 x physician

PSP information
PSP unique ID	0114
PSP name	Paediatric Hospital Care (Canada)
Total number of uncertainties identified by this PSP.	75 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	18th and 19th August 2021