Nurses and the disabled child's perspective in the anaesthesia procedure preparation process using a picture schedule.
Int J Qual Stud Health Well-being
; 19(1): 2356927, 2024 Dec.
Article
en En
| MEDLINE
| ID: mdl-38801136
ABSTRACT
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Niños con Discapacidad
/
Investigación Cualitativa
/
Anestesia General
Límite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Int J Qual Stud Health Well-being
Año:
2024
Tipo del documento:
Article
País de afiliación:
Finlandia
Pais de publicación:
Estados Unidos