"I'm completely off base here on what this child is capable of": A qualitative analysis of how medical ableism manifests in PICU clinicians' care of children with severe neurological impairment.

Background: Children with severe neurological impairment (SNI) are at heightened risk of experiencing medical ableism from clinicians in the pediatric intensive care unit (PICU), where barriers such as time scarcity and heavy workloads limit clinicians' ability to provide personalized care.

Objective: To examine medical ableism and strategies to support PICU clinicians in understanding the lives of children with SNI and their families.

Methods: This US-based, single-center, qualitative study included PICU clinicians identified by the parents/caregivers of a child with SNI.

Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings.

Objectives: To characterize alterations in Spanish language medical interpretation during pediatric critical care family meetings.

Design: Descriptive, observational study using verbatim transcripts of nine PICU family meetings conducted with in-person, hospital-employed interpreters.

Setting: A single, university-based, tertiary children's hospital.

Quality of communication in interpreted versus noninterpreted PICU family meetings.

Objectives: To describe the quality of physician-family communication during interpreted and noninterpreted family meetings in the PICU.

Design: Prospective, exploratory, descriptive observational study of noninterpreted English family meetings and interpreted Spanish family meetings in the pediatric intensive care setting.

Setting: A single, university-based, tertiary children's hospital.