Stålberg Anna, Sandberg Anette, Coyne Imelda, Larsson Thomas, Söderbäck Maja
School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
School of Education, Culture and Communication, Mälardalen University, Västerås, Sweden.
J Child Health Care. 2019 Dec;23(4):613-625. doi: 10.1177/1367493518814928. Epub 2019 Jan 3.
This study forms part of a larger project about developing and using interactive technology to facilitate young children's participation in healthcare situations. Children's participation in these situations improves their motivation and situated understanding. Likewise, their participation helps professionals to more fully understand the child's perspective. In the project, an interactive communication tool, that is, an application suitable for tablet use, was developed with children, aged three to five, in two clinical settings. When tested, the children's participation cues, identified from video recordings of healthcare situations, were understood as having curious, thoughtful or affirmative meanings. This study aimed to investigate the similarities and differences in the young children's use of participation cues when using an interactive communication tool in healthcare situations. A secondary analysis of the identified cues was performed focusing on age, setting and examination or procedure. In total, 2167 cues were identified representing either curious, thoughtful or affirmative cues. The curious cues were mainly used (66%), followed by thoughtful (28%) and affirmative (6%) cues. Differences in cue usage were seen in relation to the children's age and setting. Knowing how children may react to common healthcare procedures may help increase healthcare professionals' awareness of the need to support children in an individual and situational way.
本研究是一个更大项目的一部分，该项目旨在开发和使用交互式技术，以促进幼儿参与医疗保健情境。儿童参与这些情境可提高他们的积极性和情境理解能力。同样，他们的参与有助于专业人员更全面地了解儿童的观点。在该项目中，与3至5岁的儿童在两个临床环境中共同开发了一种交互式通信工具，即一款适合在平板电脑上使用的应用程序。在测试时，从医疗保健情境的视频记录中识别出的儿童参与线索被理解为具有好奇、深思或肯定的含义。本研究旨在调查幼儿在医疗保健情境中使用交互式通信工具时参与线索的异同。对识别出的线索进行了二次分析，重点关注年龄、环境以及检查或程序。总共识别出2167条线索，分别代表好奇、深思或肯定的线索。好奇的线索使用最为频繁（66%），其次是深思的线索（28%）和肯定的线索（6%）。线索的使用在儿童年龄和环境方面存在差异。了解儿童对常见医疗程序可能的反应，可能有助于提高医疗保健专业人员对以个性化和情境化方式支持儿童的必要性的认识。
