Empathic Communication in Pediatric Palliative Care: A Mixed-Methods Systematic Review.
J Pain Symptom ManageAug 1, 2026 (epub)
Clinical ResearchPediatrics
Aline Maria de Oliveira Rocha, Giulia Medeiros Guidoni, Expedita Angela Henrique et al.
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In 30 seconds
This mixed-methods systematic review synthesized evidence on empathic communication between healthcare providers and parents in pediatric palliative care. It included 54 studies with approximately 3567 participants. The review found that better communication was associated with lower parental grief (β = -9.08, P = 0.03) and that late information about imminent death increased unresolved grief risk (OR = 2.73; 95% CI: 1.02-7.33).
Key findings
- Empathic communication fosters relational trust and enhances prognostic understanding.
- Better communication was associated with lower parental grief (β = -9.08, P = 0.03).
- Late information about imminent death increased unresolved grief risk (OR = 2.73; 95% CI: 1.02-7.33).
- Perception of a nonpeaceful death was linked to unresolved grief among siblings (OR = 9.86; 95% CI: 2.39-40.65).
Why it matters
Understanding the role of empathic communication in pediatric palliative care can improve clinical interactions and support families during a critical time, potentially enhancing bereavement outcomes.