Maddie Gilsenan, Sam Van Der Linde, Geoff Hill, Belinda Lambros
Review of advanced practice nurse role in infection throughout the hematopoietic stem cell transplant journey
Transplant infectious disease : an official journal of the Transplantation Society
learning navigate difficult clinical conversations essential feature residency training yet much learning occurs job often without formative multisource feedback trainees need generate insight onthejob training influences trainee performance perspectives parents health care providers hcps engaged observed difficult conversations neonatal intensive care unit nicu trainees explored iterative data generation analysis process informed constructivist grounded theory parents n 14 hcps n 10 2 canadian nicus invited participate semistructured interviews informed rich picturesa visual elicitation technique useful exploring complex phenomena like difficult conversations themes identified using constant comparative approach study conducted 2018 2021 according participants misalignment parents trainees communication styles hcps intervening protect parents traineeled communication went awry absence feedback culture sole physician responsibility communication conspired trainees trying develop communication competence nicu given beliefs trainees experiential learning trump parents wellbeing physicians perceived art communication best learned observing experts sometimes already limited opportunities trainees lead conversations constricted perceptions trainees lacked interest motivation focus socalled soft skills like communication training parents nicu staff described trainees face multiple barriers learning navigate difficult conversations may set fail deeper understanding layered challenges trainees face hierarchies sociocultural norms interfere teaching may start breaking multiple barriers trainees clinician supervisors need overcome succeed