Nurses and the disabled child’s perspective in the anaesthesia procedure preparation process using a picture schedule
Kaitsalmi, J., Vehkakoski, T., Karlsson, L., & Salanterä, S. (2024). Nurses and the disabled child’s perspective in the anaesthesia procedure preparation process using a picture schedule. International Journal of Qualitative Studies on Health and Well-Being, 19(1), Article 2356927. https://doi.org/10.1080/17482631.2024.2356927
Date
2024Copyright
© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
Purpose
This study’s purpose was to investigate how nurses, using a picture schedule, enable or hinder the realization of disabled children’s agency in the preparation for an MRI procedure carried out under general anaesthesia.
Methods
A qualitative observation study was used to explore the interaction of nurses and children. The data consisted of video recordings of 25 preparation situations of 3 (3–8 years old) children (with challenges in communication and/or cognitive skills) with 4 nurses. Verbal and nonverbal communication was analysed with interventionist applied conversation analysis.
Results
What was most crucial was how the picture schedule was used during the interaction. Reciprocal information sharing, responding to the child’s initiatives by negotiating and allowing the child to take physical action with the picture schedule enabled the realization of the child’s agency.
Conclusions
The preparation process should aim to help the child prepare in his/her own way. The preparation tools should encourage reciprocal interaction in informing and in responding to the children’s initiatives. The preparation practices should include enough time for the child’s initiatives and physical participation. The results can be used in assessing preparation tools and how they are used from the perspective of the child’s agency.
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Publisher
Taylor & FrancisISSN Search the Publication Forum
1748-2623Keywords
agency alternative and augmentative communication applied conversation analysis disabled children nonverbal communication nurse– patient relationship participation preparing children puhetta tukeva ja korvaava kommunikaatio lääketieteelliset toimenpiteet kuvallinen viestintä lapset (ikäryhmät) hoitohenkilöstö nukutus magneettikuvaus toimijuus havainnointi valmistautuminen vammaiset hoitosuhde
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/215966220
Metadata
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Additional information about funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by Finnish Brain Foundation, Tukilinja Foundation sr., Finnish Association of Child Neurology Nurses, Turku University Hospital Research Foundation, Finnish Nurses Association, Finnish Foundation for Nursing Education, University of Turku/Aili Salon rahasto, TOP-Säätiö and Kansan Sivistysrahasto. ...License
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