a School of Health, Care and Social Welfare , Mälardalen University , Västerås , Sweden.
b Department of Nursing , Institute of Neurobiology, Care and Society Karolinska Instiutet , Stockholm , Sweden.
Int J Qual Stud Health Well-being. 2018 Dec;13(1):1555421. doi: 10.1080/17482631.2018.1555421.
Encounters between health care professionals, parents and children in health care services for children are complex as these encounters involve the various perspective and understanding of each person involved. The aim of the study is to describe health care professionals' understanding of significant encounters with children and parents to uncover the meaning of participation.
A qualitative descriptive design was applied. The health care professionals' narratives (n = 35) of their significant encounters with children were interpreted from the perspective of participation. A phenomenological-hermeneutical approach was used in the analysis.
The findings show children's participation as a dynamic movement in mutuality and alienation which can vary within a situation or between different situations involving the same persons. The movement can occur in mutuality and or in alienation depending on what or towards whom the persons direct themselves. Understanding participation as a movement in health care situations is useful in supporting children's opportunities to participate from their own perspective and deal with health care examinations.
The outcome of a situation can never be predicted. Still, professionals can be aware of their actions in encounters with children.
在儿童保健服务中，医护人员、家长和儿童之间的互动非常复杂，因为这些互动涉及到每个相关人员的不同观点和理解。本研究旨在描述医护人员对与儿童和家长的重要互动的理解，揭示参与的意义。
采用定性描述设计。从参与的角度解读了 35 名医护人员与儿童的重要互动的叙述。分析采用了现象学-解释学方法。
研究结果表明，儿童的参与是一种在相互作用和异化之间的动态运动，这种运动可以在同一情况下或涉及同一人的不同情况下发生变化。这种运动可以在相互作用中或异化中发生，具体取决于人与谁或针对谁来定向自己。在医疗保健情境中理解参与是一种运动，可以帮助儿童从自己的角度参与并应对医疗检查。
情况的结果永远无法预测。尽管如此，专业人员可以意识到自己在与儿童互动中的行为。
