移民儿童在儿科咨询中的认识权威
Federica Ceccoli1, Claudio Baraldi2
1University of Bologna, Italy.
Communication & medicine
|February 28, 2025
概括
在糖尿病诊所的移民儿童可以通过谈话倡议和响应提示来主张代理. 儿科医生可以支持儿童.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医学沟通 医学沟通
- 话语分析 话语分析
背景情况:
- 以患者为中心的沟通对于有效的医疗治疗至关重要,但在儿科护理中具有挑战性.
- 儿科医生通常主要与父母互动,需要父母同意,并可能限制儿童的参与.
- 移民儿童在医疗保健环境中声称自己的声音时可能会面临额外的障碍.
研究的目的:
- 调查移民儿童如何在儿科糖尿病咨询中行使代理权.
- 确定儿科糖尿病医生和家长用来支持或阻碍儿童机构的策略.
- 分析促进或阻碍儿童参与的言论模式.
主要方法:
- 分析了12个来自意大利儿科糖尿病门诊的真实相互作用.
- 运用话语分析来检查儿童对代理和认识权威的断言.
- 观察儿科医生和家长与孩子的互动模式.
主要成果:
- 儿童通过发起谈话 (提供信息,提问,与成年人相矛盾) 和接受交谈轮流来主张代理权.
- 儿科医生积极支持儿童的代理,通常通过鼓励通过反和有针对性的问题进行阐述.
- 父母争夺对话空间的竞争可能会对孩子行使自由意志的能力产生负面影响.
结论:
- 移民儿童通过特定的话语策略在糖尿病咨询中表现出主动性.
- 儿科医生在促进儿童参与和行动方面发挥着关键作用.
- 干预措施应考虑家长动态,以优化儿科护理中以儿童为中心的沟通.
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