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Joint working relationships: Children, parents and child healthcare nurses at work.
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-3033-9879
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Health Sciences.
2004 (English)In: Communication & Medicine, ISSN 1612-1783, Vol. 1, no 1, 71-83 p.Article in journal (Other (popular science, discussion, etc.)) Published
Abstract [en]

In child healthcare children's development is examined and assessed. The main aim of this article is to explore the different ways in which a child health nurse establishes joint working relationships with children and parents. Few studies in child healthcare include nonverbal interaction. It was found that a child often responds to the actions of the nurse and the parent by physical and bodily actions and by the direction of his/her gaze. The nurse has to be able to shift between several different interactional modes using various nonverbal communicative means. She uses her body to shift positions together with shifts in gaze in order to establish an interactional focus and a relationship with the child. The nurse also uses different artifacts in the room as well as the child's spontaneous activities during the assessment of the child's development. In addition, she uses the parents' relationships with their children in order to gain their support and to encourage their children in performing tasks. An important methodological consequence of this study is that it is necessary to use video-recorded data when interactions of this kind are analyzed.

Place, publisher, year, edition, pages
2004. Vol. 1, no 1, 71-83 p.
Keyword [en]
child healthcare, child-parent-nurse interaction, nonverbal interaction, joint working relationships, video analysis
National Category
Social Sciences Interdisciplinary
URN: urn:nbn:se:liu:diva-22845DOI: 10.1515/come.2004.007PubMedID: 16808690Local ID: 2185OAI: diva2:243158
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-09-04Bibliographically approved
In thesis
1. Barns och föräldrars möte med sjuksköterskan i barnhälsovården
Open this publication in new window or tab >>Barns och föräldrars möte med sjuksköterskan i barnhälsovården
2002 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Swedish child health care for children 0-7 years has a participation rate ofnearly one hundred per cent. Its work is preventive, and its ambition is toprevent health problems in preschool children and to promote good health in them and their families. The nurse is the key person and communication with parents and children is one of the important tools she uses in performing her tasks.

The overall purpose of this thesis is to describe and analyse the communication that takes place in encounters between the child health care nurse and families with children, during both visits to the child health care centre and visits in homes. The empirical material consisted of audio- and videotape recordings of five first visits to families with newborn children, of fortyfour visits of families to nurses at child health care centres, and of interviews with home visit participants. Data was primarily analysed qualitatively.

Most of what the families and the nurses discussed during the encountershad reference to the Swedish child health promotion programme, whetherthe encounters took place at the child health care centre or in participants' homes. This fact steered the interaction to a great extent. The nurses introduced the majority of topics in the conversations, but parents and children also brought up new topics. Advice, based to a great extent on the nurse's expertise, was given during almost every visit at the child health care centre. The nurse seldom encouraged parents to find their own solutions to various problems. Instead she offered standard solutions and answers to their questions. Non-verbal communication was a significant feature in the interaction. Video analysis contributes to a deeper understanding of the nurse's tasks, and also shows that the children were very active in the interaction.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2002. 82 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 261
Child health care, Home visit, Children, Parents, Encounter, Social interaction, Verbal- and nonverbal communication, Advice, Empowerment, Video analysis, Barnhälsovård, Sjuksköterske-patientrelation
National Category
Social Sciences Interdisciplinary
urn:nbn:se:liu:diva-33961 (URN)20119 (Local ID)91-7373-428-4 (ISBN)20119 (Archive number)20119 (OAI)
Public defence
2002-10-11, Hörsalen, Hus Key, Universitetsområdet Valla, Linköping, 13:15 (Swedish)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2014-08-29Bibliographically approved

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Hydén, Lars-ChristerBaggens, Christina
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