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Five-year-old children's tuning-in and negotiation strategies in an immunization situation

Maria Harder1, Kyllike Christensson, Imelda Coyne

  • 1Karolinska Institutet, Stockhom, Sweden. maria.harder@mdh.se

Qualitative Health Research
|February 24, 2011
PubMed

Insights

This study examined how 5-year-olds express themselves during immunizations in Swedish Primary Child Health Care (PCHC). Children actively participate and negotiate situations using strategies like tuning-in and delaying, showing competence.

Area of Science:

  • Pediatric Nursing
  • Child Psychology
  • Healthcare Communication

Background:

  • Primary Child Health Care (PCHC) services in Sweden focus on children's health and development.
  • Children's perspectives during healthcare encounters, particularly immunizations, are often underexplored.
  • Understanding child behavior in PCHC settings is crucial for effective care.

Purpose of the Study:

  • To explore 5-year-old children's expressions and actions during immunization procedures.
  • To capture and analyze children's perspectives as active participants in PCHC.
  • To identify strategies children use to navigate and influence healthcare situations.

Main Methods:

  • Utilized a hermeneutic research design.
  • Employed video observations to capture children's natural expressions and interactions.
  • Focused on 5-year-old children within a Swedish PCHC setting.

Main Results:

  • Children were identified as competent and active participants in PCHC situations.
  • Children actively co-constructed the healthcare encounter with nurses and parents.
  • Children employed strategies such as tuning-in, affirmative negotiation, and delaying negotiation.

Conclusions:

  • Children's expressions and actions significantly influence and manage immunization situations.
  • Recognizing children's negotiation strategies enhances understanding of their participation.
  • Nurses can improve sensitive care by understanding children's actions and communication during PCHC visits.

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