When we find ourselves in a difficult clinical situation such as a resuscitation, stress levels are high and tempers can flare for both clinicians and parents—but sadly raising ones voice or being rude in a stressful situation is not the key to helping that child in distress. To prove that point Riskin et al. ( 10.1542/peds.2016-2305) decided to put 39 NICU teams through simulations of acutely ill neonates during which a team was randomly assigned to hearing rude comments from the infant’s mother unrelated to the teams’ performance or neutral (non-rude) comments. In addition, teams were also given a preventative or post-event therapeutic intervention to use if rudeness from a parent occurred. Team performance was then evaluated by judges blinded to the team exposure using a structured evaluation questionnaire to see if the team performed well with the sick infant.
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