Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Department of Health, VID Specialized University, Oslo, Norway.
J Clin Nurs. 2019 May;28(9-10):1653-1663. doi: 10.1111/jocn.14771. Epub 2019 Jan 22.
To investigate how parents experience counselling about food and feeding practices and the use of a communication tool about diet at the child health centre.
Food-related counselling is a key element in parents' consultations with public health nurses at child health centres. Public health nurses possess limited strategies and tools for addressing nutritional issues, especially in the context of client diversity.
An interpretive description approach, fulfilling the COREQ checklist criteria.
Individual interviews performed between January 2017-May 2017 among parents (n = 12) of children (mean age 28 months) who had been exposed to a communication tool about diet, in regular child health centre consultations with their child. These consultations were included in clinical trial (ClinicalTrials.gov.: Identifier: NCT02266953).
Counselling using the communication tool about diet was primarily based on the public health nurse presenting images of healthy food choices. After infancy, consultations sometimes became more time-pressured, inhibiting parents from asking questions related to the child's diet. The parents who had questions related to food allergy or breastfeeding of their child sometimes experienced limited support. Some parents felt overwhelmed with information about healthy food choices if their child's diet differed from the recommendations presented.
The parents' existing expectations and needs had an impact on their satisfaction in relation to their perceptions of nutritional counselling. The use of the communication tool about diet to promote a two-way dialogue instead of providing one-way dietary information might be particularly useful in consultations for parents who do not follow customary recommendations.
If the diet of the family differs from what is recommended, parents often experience limited support at the child health centre. Promoting a two-way dialogue in consultations using a communication tool about diet could help parents in their concerns related to feeding their child.
调查父母在儿童健康中心接受有关食物和喂养实践的咨询以及使用有关饮食的沟通工具的情况。
与食物相关的咨询是父母在儿童健康中心与公共卫生护士咨询的关键要素。公共卫生护士在解决营养问题方面策略和工具有限，尤其是在客户多样化的情况下。
满足 COREQ 清单标准的解释性描述方法。
2017 年 1 月至 5 月期间，对接受过有关饮食沟通工具的儿童（平均年龄 28 个月）的父母（n=12）进行了个体访谈，这些儿童在常规儿童健康中心与子女就诊时接受了有关饮食的咨询。这些咨询被纳入临床试验（ClinicalTrials.gov：标识符：NCT02266953）。
使用有关饮食沟通工具的咨询主要基于公共卫生护士展示健康食物选择的图片。婴儿期过后，咨询有时会变得更加紧迫，使父母无法提出与孩子饮食有关的问题。对于孩子有食物过敏或母乳喂养问题的父母，有时会感到支持有限。如果孩子的饮食与所提供的建议不同，有些父母会对有关健康食物选择的信息感到不知所措。
父母的现有期望和需求对他们的满意度产生了影响，因为他们对营养咨询的看法不同。使用有关饮食的沟通工具来促进双向对话而不是提供单向饮食信息，对于那些不遵循常规建议的父母的咨询可能特别有用。
如果家庭的饮食与推荐的不同，父母在儿童健康中心通常会得到有限的支持。在使用有关饮食的沟通工具进行咨询时促进双向对话，可以帮助父母解决喂养孩子的问题。
