Karolinska Institutet, Stockhom, Sweden.
Qual Health Res. 2011 Jun;21(6):818-29. doi: 10.1177/1049732311400629. Epub 2011 Feb 22.
In this article, we have explored 5-year-old children's expressions when they as actors took part in an immunization situation in the Primary Child Health Care (PCHC) service in Sweden. Although children's health and development are the main concern in the PCHC service, their perspectives in such a setting have not been explored fully. To capture children's perspectives we used a hermeneutic design and video observations. The findings revealed children as competent and active participants, contributing to the construction of the PCHC situation in mutuality with the nurse and the parent. The conceptualization of children's expressions and actions revealed how they influenced and dealt with a PCHC situation by using strategies of tuning-in, affirmative negotiation, and delaying negotiation. Understanding children's actions will assist nurses to act with sensitivity when they encounter and support children.
在本文中，我们探讨了 5 岁儿童在瑞典初级儿童保健服务（PCHC）中作为演员参与免疫接种情况时的表现。尽管儿童的健康和发展是 PCHC 服务的主要关注点，但他们在这种环境中的观点尚未得到充分探索。为了捕捉儿童的观点，我们采用了阐释学设计和视频观察。研究结果表明，儿童是有能力且积极的参与者，与护士和家长一起共同构建了 PCHC 场景。对儿童表现和行为的概念化揭示了他们如何通过使用调谐、肯定协商和延迟协商的策略来影响和处理 PCHC 场景。理解儿童的行为将有助于护士在遇到和支持儿童时更敏感地行动。
