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[Participated observation of nursing child health consultation]
Fernanda Manuela Loureiro1, José António Neto Ferreira da Silva, Margarida Maria de Sousa Lourenço Quitério
1Instituto Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, Portugal.
Insights
This study observed pediatric nursing consultations, finding that health promotion primarily focused on nutrition and safety for infants. An intervention is proposed to create a health promotion manual for better evidence-based practices.
Area of Science:
- Pediatric Nursing
- Health Promotion
- Child Health Consultations
Context:
- Exploratory and descriptive study of nursing practices in child health consultations.
- Observation of 31 participant consultations.
- Focus on health promotion activities during these consultations.
Purpose:
- To identify current nursing practices in health promotion during child health consultations.
- To analyze the methodologies and topics discussed.
- To evaluate the use of informational support and provider-child interaction.
Summary:
- Majority of observed consultations involved children under 2 years old.
- Feeding was the most discussed topic, primarily using expository methods.
- Limited use of informational support, mainly for safety and nutrition. Provider questioning was common, with minimal documentation of provider-child interaction. Average consultation time was 23 minutes.
Impact:
- Highlights the need for improved health promotion strategies in pediatric nursing.
- Suggests the development of a health promotion manual integrating theory and evidence-based practices.
- Aims to enhance the quality and effectiveness of health promotion during child health consultations.
Abstract:
Situation diagnosis using exploratory and descriptive scientific methodology (participant observation with descriptive statistical treatment) in order to identify nursing' practices in the area of health promotion during a nursing child health consultation. The 31 consultations observed (n = 31) showed that the majority of observations occurred in children younger than 2 years being the most discussed topic feed with predominant use of expository methodology. There was also little use of informational support and when used relate to the themes of security and nutrition. Most providers raised questions and there was limited registration of the interaction between provider and child with an expenditure averaging of 23 minutes per consultation. Given the results and reflecting about them stands out as intervention the construction of a health promotion manual with the integration of theory and evidence of good practice in this area.
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