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June 28, 2026Journal of Child Health CareOpen Access

Breaking silence: Challenges of non-disclosure directives in paediatric clinical practice

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Authors

MAMandy El Ali

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Overview

Qualitative study explores truth-telling in pediatric nursing amid non-disclosure directives, indicating the need for open communication.

Key Points

  • This research aims to understand how nurses manage truth-telling when parents opt for non-disclosure regarding their seriously ill children.
  • Semi-structured interviews were conducted with nurses caring for seriously ill children.
  • Data were analyzed using Interpretative Phenomenological Analysis (IPA).
  • Four thematic areas were identified related to health communication and disclosure practices.
  • Nurses experience challenges in communicating health information due to non-disclosure directives.
  • Themes identified include the child’s absence in conversations about their health and the importance of understanding family dynamics.
  • Despite online access to medical information, nurses continue traditional practices of disclosure, balancing parent and child needs.

Cite This Study

Mandy El Ali (2026) studied this question.

synapsesocial.com/papers/6a40ba8861bb0a67205c6501https://doi.org/10.1177/13674935261451523
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Challenges of Truth-telling to Patients and Their Families: A Qualitative Study2024
  2. 2Telling is Caring: Prioritizing the Best Interests of Dying Children2026
  3. 3Experiences and preferences of truth-telling in families of children with cancer: A phenomenological study2024 · 3 citations
  4. 4Avoiding Deception and Nondisclosure in Clinical Practice: A Narrative Review of Ethical Principles, Legal Perspectives, and Communication Strategies2025
  5. 5Comment on: Parent‐to‐Child Information Disclosure in Pediatric Oncology—Culture Drives Truth Telling2026