title: Best Practice in Provider/Parent Interaction.
abstract: In this 3-year prospective grounded theory study in three pediatric settings, we aimed to develop a conceptualization of best practice health care providers (BPHCPs) in interaction with parents of children with complex, chronic, life-threatening conditions. Analysis of semistructured interviews with 34 parents and 80 health care professionals (HCPs) and 88 observation periods of HCP/parent interactions indicated that BPHCPs shared a broad worldview; values of equity, family-centered care, and integrity; and a commitment to authentic engagement. BPHCPs engaged in direct care activities, in connecting behaviors, and in exquisitely attuning to particularities of the situation in the moment, resulting in positive outcomes for parents and HCPs. By focusing on what HCPs do well, findings showed that not only is it possible for HCPs to practice in this way, but those who do so are also recognized as being the best at what they do. We provide recommendations for practice and initial and ongoing professional education.
authors.affiliation: 1 University of Victoria, Victoria, British Columbia, Canada.
authors.forename: Betty
authors.initials: B
authors.lastname: Davies
authors.affiliation: 2 York University, Toronto, Ontario, Canada.
authors.forename: Rose
authors.initials: R
authors.lastname: Steele
authors.affiliation: 3 Retired NVivo Computer Software Consultant, Burnaby, British Columbia, Canada.
authors.forename: Guenther
authors.initials: G
authors.lastname: Krueger
authors.affiliation: 4 Children's & Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Susan
authors.initials: S
authors.lastname: Albersheim
authors.affiliation: 5 Children's Hospital, Los Angeles, California, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Baird
authors.affiliation: 6 University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Michelle
authors.initials: M
authors.lastname: Bifirie
authors.affiliation: 7 University of Waterloo, Waterloo, Ontario, Canada.
authors.forename: Susan
authors.initials: S
authors.lastname: Cadell
authors.affiliation: 1 University of Victoria, Victoria, British Columbia, Canada.
authors.forename: Gweneth
authors.initials: G
authors.lastname: Doane
authors.affiliation: 4 Children's & Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Deepshikha
authors.initials: D
authors.lastname: Garga
authors.affiliation: 4 Children's & Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Harold
authors.initials: H
authors.lastname: Siden
authors.affiliation: 4 Children's & Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Caron
authors.initials: C
authors.lastname: Strahlendorf
authors.affiliation: 3 Retired NVivo Computer Software Consultant, Burnaby, British Columbia, Canada.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhao
mesh_terms: D000328:Adult; D002648:Child; D002673:Child, Hospitalized / Q000523:psychology*; D003142:Communication; D005260:Female; D017144:Focus Groups; D066296:Grounded Theory; D006282:Health Personnel / Q000523:psychology*; D006738:Hospices; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D008875:Middle Aged; D000071069:Multiple Chronic Conditions / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D011368:Professional-Family Relations; D011446:Prospective Studies; D036301:Qualitative Research
keywords: Canada; communication; grounded theory; palliative care; pediatrics; practice guidelines; qualitative analysis; relationships, patient-provider