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Observations of health care professionals sharing and contributing responsibility in paediatric caring situations
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
2009 (English)In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 15, no 3, 185-190 p.Article in journal (Refereed) Published
Abstract [en]

This study aimed to identify, describe and generate concepts regarding health care professionals’ information exchanges with minors and/or their parents/guardians in paediatric caring situations. The study took place at three paediatric outpatient units at a university hospital and there were 15 health care professionals involved. Using the grounded theory and the constant comparative analysis methods, the data collection and analysis was undertaken simultaneously, using participant observation, review of medical records and follow-up interviews. The main concern of the health care professionals that emerged as the core category was: sharing and contributing responsibility, interrelated with the six categories; interchanging of knowledge, relationship-creating chat, calculated confirming, encouraging, dichotomous talking and of situation related effects. This research has explored the elements of information exchange in caring situations and highlighted the interaction between the involved persons. These findings could be valuable to health care professionals in order to develop and improve their caring skills.

Place, publisher, year, edition, pages
2009. Vol. 15, no 3, 185-190 p.
Keyword [en]
Caring situation, grounded theory, health care professional, information exchange, observation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-18005DOI: 10.1111/j.1440-172X.2009.01743.xOAI: oai:DiVA.org:liu-18005DiVA: diva2:213966
Note
This is the Authors’ version of the following article: Eva Mårtenson, Astrid Fägerskiöld and Carina Berterö, Observations of health care professionals sharing and contributing responsibility in paediatric caring situations, 2009, International Journal of Nursing Practice, (15), 3, 185-190. which has been published in final form at: http://dx.doi.org/10.1111/j.1440-172X.2009.01743.x Copyright: Blackwell Publishing Ltd http://www.blackwellpublishing.com/ Available from: 2009-04-30 Created: 2009-04-30 Last updated: 2017-12-13Bibliographically 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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