CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
Patient Educ Couns. 2012 Nov;89(2):260-6. doi: 10.1016/j.pec.2012.07.012. Epub 2012 Aug 9.
The purpose of this study was to explore and describe the content of and the verbal interaction in health dialogues between pupils and school nurses.
Twenty-four health dialogues were recorded using a video camera and the conversations were analysed using the paediatric version of the Roter Interaction analysis system.
The results showed that the age appropriate topics suggested by national recommendations were brought up in most of the health dialogues. The nurses were the ones who talked most, in terms of utterances. The pupils most frequently gave information about their lifestyle and agreed with the nurses' statements. The nurses summarised and checked that they had understood the pupils, asked closed-ended questions about lifestyle and gave information about lifestyle. Strategies aimed to make the pupil more active and participatory in the dialogues were the most widely used verbal interaction approaches by the nurses.
The nurses' use of verbal interaction approaches to promote pupils' activity and participation, trying to build a partnership in the dialogue, could indicate an attempt to build patient-centred health dialogues.
The nurses' great use of questions and being the ones leading the dialogues in terms of utterances point at the necessity for a nurses to have an openness to the pupils own narratives and an attentiveness to what he or she wants to talk about.
本研究旨在探索和描述小学生与校护之间健康对话的内容和言语互动。
使用摄像机录制了 24 次健康对话，并使用儿科版 Roter 互动分析系统对对话进行了分析。
结果表明，大多数健康对话都涉及到国家建议中提出的适合年龄的话题。在话语方面，护士的发言最多。学生最常提供有关其生活方式的信息，并同意护士的陈述。护士总结并检查他们是否理解了学生的意思，询问了有关生活方式的封闭式问题，并提供了有关生活方式的信息。旨在使学生在对话中更积极、更具参与性的策略是护士最广泛使用的言语互动方法。
护士使用言语互动方法来促进学生的积极性和参与度，试图在对话中建立伙伴关系，这可能表明他们试图建立以患者为中心的健康对话。
护士在提问和话语方面的大量使用，以及在对话中主导的角色，表明护士有必要对学生自己的叙述持开放态度，并关注他或她想谈论的内容。
