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Published on: February 2, 2017
The attitudes of family physicians toward a child with delayed growth and development
Servet Aker1, Mustafa Kürşat Şahin2, Ömer Kınalı3
11Canik Community Health Center,Public Health Directorate,Samsun,Turkey.
Insights
Family physicians often used judgmental language when interviewing mothers of children with developmental delays. Further training is recommended to improve communication and patient relations in primary care settings.
Area of Science:
- Pediatrics
- Family Medicine
- Developmental Pediatrics
Background:
- Primary healthcare professionals are crucial for monitoring child health through growth and development assessments.
- Early detection of delayed growth and development can significantly improve outcomes.
- Family physicians play a pivotal role in identifying and managing developmental concerns.
Purpose of the Study:
- To evaluate the attitudes and communication styles of family physicians when interacting with families of children experiencing delayed growth and development.
- To identify potential areas for improvement in how family physicians approach sensitive developmental issues.
Main Methods:
- A descriptive study involving 325 family physicians in Samsun, Turkey.
- Utilized role-playing scenarios depicting a child with delayed growth and development, followed by participant interviews.
- Administered a questionnaire with open-ended questions to gather further insights.
Main Results:
- Family physicians frequently employed accusatory and judgmental language during interviews with mothers.
- Common questions included inquiries about maternal competence, such as 'Do you think you are a good mother?'.
- Physicians expressed a strong belief in educational interventions for resolving developmental delays.
Conclusions:
- The communication and relationship-building approaches of family physicians with patients and their relatives were found to be inappropriate.
- There is a clear need for continuous in-service training for family physicians on effectively managing cases of delayed growth and development.
Abstract:
Aim The purpose of this study was to assess the attitude of family physicians toward a child with delayed growth and development.
Background:
Primary healthcare professionals play a key role in monitoring growth and development, the best indicator of the child's health status. If delayed growth and development can be detected early, then it is usually possible to restore functioning.
Methods:
This descriptive study was performed in Samsun, Turkey, in May and June 2015. In total, 325 family physicians were included. The study consisted of two parts. In the first session of the research, the story of an 18-month-old child with delayed growth and development was presented using visual materials. An interview between the child's mother and a member of primary healthcare staff was then enacted by two of the authors using role-playing. Subsequently, participants were given the opportunity to ask the mother and member of primary healthcare staff questions about the case. During the sessions, two observers observed the participants, took notes and compared these after the presentation. In the second part of the study, the participants were asked to complete a questionnaire consisting of three open-ended questions. Findings When asking questions of the mother, family physicians generally used accusatory and judgmental language. One of the questions most commonly put to the mother was 'Do you think you are a good mother?' Family physicians were keen to provide instruction for the patient and relatives. Family physicians to a large extent thought that the problem of a child with delayed growth and development can be resolved through education.
Conclusions:
Family physicians' manner of establishing relations with the patient and relatives is inappropriate. We therefore think that they should receive on-going in-service training on the subject.
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