title: Adolescent mothers in the NICU: how much do they understand?
abstract: OBJECTIVE
  We aimed to characterize adolescent parents' understanding of their infant's diagnosis, treatment and illness severity in the intensive care unit.
  
  
  METHODS
  Adolescent mothers were interviewed and neonatal medical records were reviewed.
  
  
  RESULTS
  Forty-two teens were interviewed. All had spoken with providers: 86% with nurses, 60% with physicians and 45% with both. Most teens could name their infant's diagnosis and treatment but often underestimated the illness severity. Teens reported reluctance to ask providers to clarify technical language. Those who said they spoke with a physician were less likely to understand their infant's illness severity than those who said they had not spoken with a physician (48 vs 82%). Parents' knowledge was better if physicians had documented explicit efforts to communicate with parents.
  
  
  CONCLUSIONS
  Teens often underestimated the critical nature of their infant's illness. Future work should target adolescent willingness to ask questions and provider ability to accurately gauge parent knowledge.
authors.affiliation: Division of Neonatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. rboss1@jhmi.edu
authors.forename: R D
authors.initials: RD
authors.lastname: Boss
authors.forename: P K
authors.initials: PK
authors.lastname: Donohue
authors.forename: R M
authors.initials: RM
authors.lastname: Arnold
mesh_terms: D000293:Adolescent; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007363:Intensive Care Units, Neonatal; D007407:Interviews as Topic; D009035:Mothers; D009723:Nurse-Patient Relations; D010817:Physician-Patient Relations; D055815:Young Adult