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Updated: May 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Hospitalized children's representations of their relationship with nurses and doctors
Paola Corsano1, Marinella Majorano, Valentina Vignola
1Department of Psychology, University of Parma, Parma, Italy.
Insights
Hospitalized children perceive their relationships with doctors and nurses positively, especially nurses. This strong bond helps them cope with medical procedures, making them more familiar and accepted.
Area of Science:
- Pediatric Psychology
- Child Health
- Nursing Studies
Background:
- Understanding hospitalized children's perspectives is crucial for improving healthcare experiences.
- The nurse-patient relationship significantly impacts pediatric patient outcomes and coping mechanisms.
Purpose of the Study:
- To explore hospitalized children's views on their relationships with nurses and doctors.
- To analyze the nature and impact of these relationships on coping with medical treatments.
Main Methods:
- An explorative study involving 27 school-aged children (6-15 years) in a pediatric haematology and oncology ward.
- Children created drawings of themselves with healthcare professionals, analyzed using Pictorial Assessment of Interpersonal Relationships (PAIR) and qualitative methods.
Main Results:
- Children reported positive views of their relationships with healthcare professionals, particularly nurses.
- Relationships with nurses were perceived as close, intimate, cohesive, and conflict-free, sometimes forming emotional bonds.
- These positive relationships aided children in coping with and accepting painful medical procedures.
Conclusions:
- The findings highlight the vital role of strong nurse-patient relationships in pediatric care.
- Positive interactions with healthcare professionals can significantly enhance a child's ability to manage challenging medical experiences.
- Implications for clinical practice include fostering supportive and trusting relationships to improve pediatric patient well-being.
Abstract:
This article reports an explorative study which aims to investigate hospitalized children's views of their relationships with nurses and doctors. Twenty-seven school-aged children and adolescents from 6 to 15 years old in the paediatric haematology and oncology ward of an Italian hospital participated in the study. Each participant was asked to draw him or herself with a doctor or nurse from the ward while they were doing something. The drawings were analysed using Pictorial Assessment of Interpersonal Relationships (PAIR) and a qualitative analysis. The results showed that the participants viewed their relationships with health professionals positively, in particular with the nurses. This relationship was perceived as close, intimate, cohesive and without conflict. In some cases it became an emotional bond. Finally, this relationship helped the patients to cope with painful and uncomfortable medical procedures, which gradually became familiar and accepted. The clinical implications of this study are discussed.
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