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Information exchange in paediatric settings: an observational study
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-1588-135X
2007 (English)In: Paediatric nursing, ISSN 0962-9513, Vol. 19, no 7, 40-43 p.Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this observational study was to identify, describe and generate concepts regarding the exchange of information between children/young people and healthcare professionals in paediatric outpatient settings.

METHOD: The grounded theory methodology was used. Field notes from observations and excerpts from medical records were analysed using constant comparative analysis. Twenty eight children and young people were observed in three separate paediatric outpatient units; 76 observations were conducted of interactions between children/young people, parents and staff (paediatric nurses, paediatric enrolled nurses and paediatricians).

FINDINGS: 'Balancing the circumstances' was identified as the core category during information exchange, based on six categories: taking part, trust, being in touch, mutuality, getting facts and family influence. The six categories relate to one another and balance the circumstances in the information exchange to varying degrees. These children and young people seemed to be trying to enhance their situation as much as possible by finding out as much as they were able to, sharing their own knowledge with the staff and participating in social interaction with them.

CONCLUSION: With this understanding of information exchange, nurses can enable and support children and young people to balance their circumstances and improve information exchanges, thereby promoting their partnership in care.

Place, publisher, year, edition, pages
2007. Vol. 19, no 7, 40-43 p.
Keyword [en]
Children: Hospitalised, Communication, Interpersonal relations
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-18000PubMedID: 17926774OAI: oai:DiVA.org:liu-18000DiVA: diva2:213962
Available from: 2009-04-30 Created: 2009-04-30 Last updated: 2013-09-12Bibliographically approved
In thesis
1. Information exchange in paediatric care
Open this publication in new window or tab >>Information exchange in paediatric care
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Även barnet har rätt att få veta!
Abstract [en]

Information exchange is an essential component for all involved in the paediatric care encounter. Despite this, most of the research about information exchange concerns adults and the significance of the child’s existence in the encounter have not been given sufficient attention. Therefore, the overall aims of this thesis were twofold. Firstly, the aim was to identify, describe and generate concepts in information exchange between minors, parents/guardians and health care professionals in paediatric care situations. Secondly, the intention was to formulate a theoretical construction, a theory, of the phenomenon of information exchange in paediatric care situations.

This thesis is based on four studies. In studies I, II and III grounded theory was used according to Glaser and data have been analyzed using the constant comparative analysis method. Data have been collected through observations and medical records (I, II and III) and also with additional follow-up interviews (III). In study IV, at first a qualitative content analysis of Løgstrup’s ethical demand was conducted and, second, a simultaneous concept analysis of the findings from studies I, II and III and the findings from the qualitative content analysis was carried out. There were a total of 67 participants in the three observational studies: 28 minors (I), 24 parents/guardians (II) and 15 health care professionals (III), who exchanged information in different paediatric care encounters.

The information exchange interaction process was resolved by the minors “balancing the circumstances” (I), the parents/guardians used “firm handling” (II) and the health care professionals were “sharing and contributing the responsibility” (III). The qualitative content analysis of Løgstrup’s ethical demand provided the mediation and the social norms. The simultaneous concept analysis finally gave the advanced outcome to intergrade, which means to merge gradually with another through a continuous series of intermediates. At the same time as we intergrade in paediatric care, we protect the totality of minors, recognize the dependency of the parents/guardians and the social interplay by the health care professionals, the information exchange is improved. This thesis emphasizes the importance of health care professionals’ communication skills and the need for education and practice in this topic, in order to improve the information exchange with minors and their parents/guardians from an ethical viewpoint. The theory intergrade explains how this could be applied and implemented.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2009. 58 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1106
Keyword
Ethical demand, Grounded theory, Information exchange, Paediatric care, Qualitative content analysis, Simultaneous concept analysis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-18007 (URN)978-91-7393-681-1 (ISBN)
Public defence
2009-05-15, Aulan, Länssjukhuset Ryhov, Jönköping, 13:00 (English)
Opponent
Supervisors
Available from: 2009-04-30 Created: 2009-04-30 Last updated: 2013-09-12Bibliographically approved

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Mårtenson Wikström, EvaFägerskiöld, AstridBerterö, Carina

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