Hydén Lars-Christer, Baggens Christina
Department of Communication Studies, Linköping University, Sweden.
Commun Med. 2004;1(1):71-83. doi: 10.1515/come.2004.007.
In child healthcare children's development is examined and assessed. The main aim of this article is to explore the different ways in which a child health nurse establishes joint working relationships with children and parents. Few studies in child healthcare include nonverbal interaction. It was found that a child often responds to the actions of the nurse and the parent by physical and bodily actions and by the direction of his/her gaze. The nurse has to be able to shift between several different interactional modes using various nonverbal communicative means. She uses her body to shift positions together with shifts in gaze in order to establish an interactional focus and a relationship with the child. The nurse also uses different artifacts in the room as well as the child's spontaneous activities during the assessment of the child's development. In addition, she uses the parents' relationships with their children in order to gain their support and to encourage their children in performing tasks. An important methodological consequence of this study is that it is necessary to use video-recorded data when interactions of this kind are analyzed.
在儿童保健中，会对儿童的发育进行检查和评估。本文的主要目的是探讨儿童保健护士与儿童及其父母建立合作关系的不同方式。儿童保健领域中很少有研究涉及非言语互动。研究发现，儿童常常通过身体动作和目光方向对护士及父母的行为做出反应。护士必须能够运用各种非言语交流手段在几种不同的互动模式之间进行转换。她通过身体移动位置以及目光转移，来建立与儿童的互动焦点和关系。在评估儿童发育过程中，护士还会利用房间里的不同物品以及儿童的自发活动。此外，她会利用父母与孩子之间的关系来获得他们的支持，并鼓励孩子完成任务。这项研究的一个重要方法学成果是，在分析此类互动时，有必要使用视频记录数据。
