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Joint working relationships: children, parents and child healthcare nurses at work
Lars-Christer Hydén1, Christina Baggens
1Department of Communication Studies, Linköping University, Sweden. larthy@tema.liu.se
Insights
Child health nurses use nonverbal cues and parent collaboration to build relationships during developmental assessments. Video analysis is crucial for understanding these complex interactions.
Area of Science:
- Pediatrics
- Child Development
- Nursing
Background:
- Child healthcare focuses on assessing development.
- Joint working relationships between nurses, children, and parents are vital.
- Nonverbal interaction in child healthcare is understudied.
Purpose of the Study:
- To explore how child health nurses build working relationships with children and parents.
- To highlight the role of nonverbal communication in child developmental assessments.
Main Methods:
- Analysis of interactions between child health nurses, children, and parents.
- Observation of nonverbal cues such as gaze and body positioning.
- Utilizing artifacts and child's spontaneous activities during assessment.
- Incorporating parents' interactions with their children.
Main Results:
- Children respond to nurses and parents through physical actions and gaze.
- Nurses employ diverse nonverbal strategies (body shifts, gaze) to engage children.
- Nurses leverage environmental artifacts and child's play for assessment.
- Parental involvement is used to support and encourage children.
Conclusions:
- Effective child developmental assessment requires nurses to master multiple interactional modes.
- Nonverbal communication is a key component in establishing nurse-child-parent relationships.
- Video-recorded data is essential for analyzing these intricate interactions.
Abstract:
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.
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