The physician–patient–parent communication: A qualitative perspective on the child's contribution

The aim of the present study was to explore (1) how and with which specificity the young patient contributes to the visit; (2) the communicative-relational manner with which adults handle the child's interventions. Ten videoed visits with patients aged 2–6 years were selected. A content and dis...

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Bibliographic Details
Published in:Patient education and counseling 2005-09, Vol.58 (3), p.327-333
Main Authors: Nova, Cristina, Vegni, Elena, Moja, Egidio Aldo
Format: Article
Language:English
Subjects:
Child
Child psychology
Child, Preschool
Humans
Italy
Nursing
Paediatrics
Parents
Pediatrics
Physician-Patient Relations
Professional-Family Relations
Psychology, Child
Qualitative analysis
Sociometric Techniques
Video registrations
Videotape Recording
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Summary:The aim of the present study was to explore (1) how and with which specificity the young patient contributes to the visit; (2) the communicative-relational manner with which adults handle the child's interventions. Ten videoed visits with patients aged 2–6 years were selected. A content and discourse analysis was realized. Results showed three macro-categories that seem to fully describe the young patient interventions: (1) The subjective experience regarding the illness; (2) The child's own learning process; (3) The child's medical knowledge. These contributions seem to be handled by the adults in processes that may or may not integrate the patient contributions. Results confirmed the quantitatively limited child's contribution, but they also showed an active child, who communicates with the adults about the subjective experience of the visit or the illness, and who autonomously handle the learning process about the roles in the visit. Physicians should improve their communication skills to integrate the child's interventions.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2005.02.007