How to Make Communication Among Oncologists, Children With Cancer, and Their Caregivers Therapeutic
Menée auprès de 33 dyades constituées de parents et d'enfants atteints d'un cancer, cette étude qualitative propose un cadre pour faciliter et renforcer la communication et les relations entre les oncologues pédiatriques, les patients et leurs familles
Therapeutic alliance refers to the “nature and strength of an affective bond between patient or family and the clinician in collaboration toward shared goals.”1 It is about the quality of clinician-patient relationships, including the mutual affect and respect necessary for trusting, constructive, compassionate, and goal-concordant care. In other words, therapeutic alliance is something all clinicians should strive to achieve. However, there are few empirical descriptions of how to do so, and none explicitly focused on pediatric populations.2 In a secondary analysis of qualitative data from a prospective cohort study of 141 recorded conversations between 6 pediatric oncologists and 17 families of children with advanced cancer, Kaye and colleagues1 begin to bridge that gap. Specifically, they identify 28 concepts from 7 core themes supporting a framework for clinicians to approach building therapeutic alliance: human connection, empathy, presence, partnering, inclusivity, humor, and honesty.
JAMA Network Open , commentaire en libre accès, 2020