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Exploring three-year-old children in a primary child health care situation

Maria Harder1, Kyllike Christensson, Maja Söderbäck

  • 1Department of Women and Child Health, Karolinska Institutet and School of Health Care and Social Welfare, Mälardalen University, Sweden. maria.harder@mdh.se

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
|October 17, 2009
PubMed

Insights

Three-year-olds express their readiness and self-assurance during Swedish Primary Child Health Care (PCHC) visits through varied actions and words. Understanding these expressions helps nurses better support children in PCHC settings.

Area of Science:

  • Child Development
  • Pediatric Nursing
  • Qualitative Research Methods

Background:

  • Swedish Primary Child Health Care (PCHC) involves regular health visits for children.
  • Children actively express their subjective maturity during these visits through verbal and bodily cues.

Purpose of the Study:

  • To explore the expressions of three-year-old children acting within a PCHC setting.
  • To understand how young children demonstrate their maturity and engagement in healthcare interactions.

Main Methods:

  • An explorative research design was employed.
  • A hermeneutic approach was utilized, incorporating video observations.
  • The study included observations of twenty-nine three-year-old children.

Main Results:

  • Children's expressions were observed in a progression of states: 'getting ready,' 'being ready,' and 'strengthening self.'
  • This progression was dynamic, also including states of 'not being ready' and 'being adverse.'
  • A wide variation in children's expressions was noted within the PCHC context.

Conclusions:

  • Conceptualizing children's expressions in PCHC can enhance nurses' sensitivity.
  • Nurses can be better guided in inviting and supporting children's participation.
  • Understanding child expressions is key to effective PCHC interactions.

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